Jennifer B. Roberts, MD, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25719 Issued in OK

Legal business name

JENNIFER B. ROBERTS, MD, PLLC

Practice address

2413 Palmer Cir
Norman, OK 73069-6301

Phone

(405) 310-3843

Fax

(405) 321-5348

NPI assigned

Sep 6, 2011

Organization subpart

No

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

Authorized official

Name

Jennifer Roberts, MDNPI 1871799619

Title

MD

Phone

(405) 310-3843

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Carol Barnes Roberts, MD

  • Dermatology Physician
  • Norman, OK
  • NPI 1871799619
  Medicare reassignment NPD Authorized official
• Christine Holt

  • Mental Health Counselor
  • Norman, OK
  • NPI 1730476656
  NPD

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1659652576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248855",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731248855",
            "telephone_number": "405-310-3843",
            "fax_number": "405-321-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 PALMER CIR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696301",
            "telephone_number": "405-310-3843",
            "fax_number": "405-321-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER B. ROBERTS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "405-310-3843",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "25719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1871799619",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey P. Austin, D.D.S., PC
• Jenkins Advisors, Inc.
• Jennifer M Jenkins, D.D.S.
• Krysten Lynn Jenkins, PA-C
• Rodrick Deon Jenkins
• Jennifer Clark, Psy.D., P.C.
• Jodi L. Jennings, OTR/L
• Melissa Jean Jennings, M.D.
• Natalie F Jennings, LMFT
• Jenny Meigs Counseling Services, PLLC

• Specialist in Norman, OK
• Providers in Norman, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.