Keith Eugene Roberts, LMT, CD(DONA)

Primary specialty

DoulaTaxonomy code 374J00000X

License

4900 Issued in CO

Practice address

610 Pioneer LN
Colorado Springs, CO 80904-1743

Phone

(719) 632-5912

Fax

(719) 632-5912

NPI assigned

Nov 4, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Keith Eugene Roberts Professional name

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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1770810277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PIONEER LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809041743",
            "telephone_number": "719-632-5912",
            "fax_number": "719-632-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PIONEER LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809041743",
            "telephone_number": "719-632-5912",
            "fax_number": "719-632-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KEITH",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "LMT, CD(DONA)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CO",
            "license": "4900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEITH",
            "last_name": "ROBERTS",
            "middle_name": "EUGENE",
            "credential": "KEITH  ROBERTS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joel Roberts, MA, LPC, NCC
• John Mose Roberts Jr., M.D.
• Kalyn Roberts
• Karrine Roberts, PHARMD
• Katherine Elyse Roberts
• Mary K Roberts, RPT
• Meghan L Roberts, DPT
• Melynn Dawn Roberts, PHARM D
• Nathan Anthony Roberts, MD
• Nicole Roberts

• Doula in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Doula in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.