Felicia Leanna Roberts (NPI# 1801492145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1801492145 |
| Entity Type | Individual |
| Full Name | Felicia Leanna Roberts |
| Gender | Female |
| Practice Address |
2267 Reed Ave San Diego CA 92109-5628 |
| Practice Telephone | 7067616976 |
| Mailing Address |
2267 Reed Ave San Diego CA 92109-5628 |
| Mailing Telephone | 7067616976 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 1710I1002X | Military Health Care Provider · Independent Duty Corpsman | Other Service Providers | CA |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160986 | Felicia Roberts | Registered Nurse | 98 Cardinal Lane, Marstons Mills, MA 02648-0264 | 2018-07-11 |
| 1578012647 | Felicia Roberts | Pharmacist | 2304 Flowerdale Ct, Douglasville, GA 30135-7909 | 2016-09-29 |
| 1841240280 | Felicia M. Roberts | Physician Assistant | 868 York Ave Sw, Atlanta, GA 30310-2750 | 2006-05-10 |
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720684319 | Brandon Young | Military Health Care Provider | 3401 Farenholt Ave Building 14, San Diego, CA 92134-0001 | 2020-12-08 |
| 1770180648 | Darius Lee Sean Woods | Military Health Care Provider | 6033 Sandy Shore Ct, San Diego, CA 92139-1014 | 2020-10-05 |
| 1174130744 | Daniel Carrera | Military Health Care Provider | 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 | 2020-09-28 |
| 1316551740 | Kyle Bode Francis | Military Health Care Provider | 3149 Murray Ridge Rd, San Diego, CA 92123-2917 | 2020-09-02 |
| 1255945069 | Jeremy Lee | Military Health Care Provider | 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 | 2020-08-31 |
| 1013520667 | Rashaad Brown | Military Health Care Provider | 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 | 2020-08-24 |
| 1932711934 | Alvaro Daniel Macias | Military Health Care Provider | 8685 Rio San Diego Dr Apt 4344, San Diego, CA 92108-6560 | 2020-08-20 |
| 1689286189 | Charles Luke Morris | Military Health Care Provider | 1675 Beta Ct, San Diego, CA 92126-7060 | 2020-08-18 |
| 1255943635 | Stephon Peyton Frost | Military Health Care Provider | 2654 Mendonca Dr, San Diego, CA 92110-4263 | 2020-08-18 |
| 1184235871 | Jaden Sandi | Military Health Care Provider | Swmi Sfidc Bldg 14 34101 Farenholt Ave, San Diego, CA 92134-0001 | 2020-08-14 |
| Find all providers in SAN DIEGO | ||||
| Street Address |
2267 REED AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109-5628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Psychologist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavior Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| Find all providers in zip 92109 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.