Active NPI
Joann Roberts, LMT
- Contractor
- Grants Pass, OR
National Provider Identifier
1770733487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- LMT #15469
- Practice address
- 8200 Rogue River Hwy
950 SW 6TH. St. Suite #25
Grants Pass, OR 97527-4349 - Phone
- (541) 821-9299
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | LMT #15469 | OR | Primary |
| Specialist | 174400000X | LMT #115469 | OR |
Addresses
Primary practice location
8200 Rogue River Hwy
950 SW 6TH. St. Suite #25
Grants Pass, OR 97527-4349
Mailing address
8200 Rogue River Hwy
Grants Pass, OR 97527-4349
Phone (541) 821-9299
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 |
|---|---|---|---|
| LMT #15469 | OR | MD | Contractor |
| LMT #115469 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1770733487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 ROGUE RIVER HWY",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975274349",
"telephone_number": "541-821-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 ROGUE RIVER HWY",
"address_2": "950 SW 6TH. ST. SUITE #25",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975274349",
"telephone_number": "541-821-9299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JOANN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OR",
"license": "LMT #15469",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "LMT #115469",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.