Kiwanis Yo'Mone Roberts II

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3000 United Founders Blvd Ste 124
Oklahoma City, OK 73112-4292

Phone

(405) 727-0138

NPI assigned

Oct 9, 2024

Last updated

Oct 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridge Builder Counseling & Consulting, LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1164152062
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1578382180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721581",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731721581",
            "telephone_number": "405-727-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD STE 124",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124292",
            "telephone_number": "405-727-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KIWANIS",
        "middle_name": "YO'MONE",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karrie Dawn Roberts
• Kenneshiya Roberts
• Ki'Yana Nicole Roberts
• Kimberly Roberts, APRN, CNOR
• Kimberly Suzanne Roberts, APRN
• Latonjia Roberts
• Linda Roberts, BHRS
• Linda C Roberts, BHRS
• Malcolm Xavier Roberts, B.A.
• Mason Roberts

• Case Manager/Care Coordinator in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.