Rayshayna Rose Roberts

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

PO Box 114
Red Lake, MN 56671-0114

Phone

(218) 679-1538

NPI assigned

Sep 18, 2024

Last updated

Sep 18, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1982431482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "RED LAKE",
            "state": "MN",
            "postal_code": "566710120",
            "telephone_number": "218-214-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "RED LAKE",
            "state": "MN",
            "postal_code": "566710114",
            "telephone_number": "218-679-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RAYSHAYNA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Red Lake Department of Family and Children Services
• Red Lake Homeless Shelter Inc.
• Red Lake Medication Assisted Recovery Services
• Red Lake Nation Youth Safe Harbor Inc
• Redlake Chemical Health Program Group Home (Redlake Group Home)
• Juliana Renee Robertson, LICSW
• John Leo Millen Robinson, DDS
• Rons Transport LLC
• Elizabeth Vivian Rose, DMD
• Ethan Ryberg, PHARMD

• Community Health Worker in Red Lake, MN
• Providers in Red Lake, MN by specialty
• Community Health Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.