Active NPI
Emily Roberts
- Licensed Practical Nurse
- Negaunee, MI
National Provider Identifier
1689445744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703106119
- Practice address
- 100 Malton Rd Ste 6
Negaunee, MI 49866-2002 - Phone
- (906) 485-2347
- NPI assigned
- Jan 9, 2024
- Last updated
- Jan 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703106119 | MI | Primary |
Addresses
Primary practice location
100 Malton Rd Ste 6
Negaunee, MI 49866-2002
Mailing address
97 S 4TH St
Ishpeming, MI 49849-2168
Other practice location 1
1009 W Ridge St Ste C
Marquette, MI 49855-3997
Phone (906) 228-6545
Other practice location 2
241 Wright St
Marquette, MI 49855-1955
Phone (906) 228-7611
Other practice location 3
1143 N State St
Saint Ignace, MI 49781-1012
Phone (906) 643-0944
Other practice location 4
2655 Ashmun St
Sault Sainte Marie, MI 49783-3711
Phone (906) 632-9809
Other practice location 5
1500 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 291-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703106119 | MI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1689445744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 S 4TH ST",
"city": "ISHPEMING",
"state": "MI",
"postal_code": "498492168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MALTON RD STE 6",
"city": "NEGAUNEE",
"state": "MI",
"postal_code": "498662002",
"telephone_number": "906-485-2347"
}
],
"practiceLocations": [
{
"address_1": "1009 W Ridge St Ste C",
"address_purpose": "LOCATION",
"city": "Marquette",
"state": "MI",
"postal_code": "498553997",
"country_code": "US",
"telephone_number": "906-228-6545",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "241 Wright St",
"address_purpose": "LOCATION",
"city": "Marquette",
"state": "MI",
"postal_code": "498551955",
"country_code": "US",
"telephone_number": "906-228-7611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1143 N State St",
"address_purpose": "LOCATION",
"city": "Saint Ignace",
"state": "MI",
"postal_code": "497811012",
"country_code": "US",
"telephone_number": "906-643-0944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2655 Ashmun St",
"address_purpose": "LOCATION",
"city": "Sault Sainte Marie",
"state": "MI",
"postal_code": "497833711",
"country_code": "US",
"telephone_number": "906-632-9809",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Sandpoint Rd",
"address_purpose": "LOCATION",
"city": "Munising",
"state": "MI",
"postal_code": "498621406",
"country_code": "US",
"telephone_number": "906-291-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703106119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Negaunee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.