Rheanell Roberts, MA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CG60676977 Issued in WA

Practice address

11000 Lake City Way NE
Seattle, WA 98125-6748

Phone

(206) 461-3614

Fax

(206) 634-3596

NPI assigned

Dec 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rheanell Roberts Plog Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1679018956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 LAKE CITY WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256748",
            "telephone_number": "206-461-3614",
            "fax_number": "206-634-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 LAKE CITY WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256748",
            "telephone_number": "206-461-3614",
            "fax_number": "206-634-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RHEANELL",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "CG60676977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHEANELL",
            "last_name": "PLOG",
            "middle_name": "ROBERTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Eliza Roberts, PHARM.D.
• Neil E. Roberts, MD
• Paige Elizabeth Roberts, L.S.W.
• Paul Parker Roberts
• Rebecca Kay Roberts
• Sarah Roberts
• Soleil De Marsche Roberts, DMD, MSD
• Stefan Lee Roberts, LMP
• Thomas Glenn Roberts, DDS
• Vanessa Nicole Roberts, OTR/L

• Case Manager/Care Coordinator in Seattle, WA
• Providers in Seattle, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.