Jazmin Necole Roberts, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

314061 Issued in NY

Practice address

52 Corporate Cir
Albany, NY 12203-5176

Phone

(518) 456-4466

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1760025225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SWAN ST FL 1",
            "city": "GREEN ISLAND",
            "state": "NY",
            "postal_code": "121831401",
            "telephone_number": "518-443-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CORPORATE CIR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035176",
            "telephone_number": "518-456-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JAZMIN",
        "middle_name": "NECOLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "314061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert N. Taranto, DMD, PLLC
• Robert William Harrington Jr MD PLLC
• Racheal Elizabeth Robert, MS
• David John Roberts, PHARMD
• Jared Tyler Roberts, M.D.
• John N. Roberts, PSY.D.
• Kelly S Roberts, OTR/L
• Kevin W Roberts, M.D.
• Lauren Elizabeth Roberts, PA-C
• Sarah Roberts

• Licensed Practical Nurse in Albany, NY
• Providers in Albany, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.