Kaleb Roberts
Registered Nurse in Johnson City, TN. Individual provider (NPI-1).
NPI number1548637366
StatusActive
Last updated in NPPESAug 27, 2015
Details
- NPI
- 1548637366
- Entity type
- Individual (NPI-1)
- Name
- Kaleb Roberts
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2015
- Last updated
- Aug 27, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 202420 | TN | Yes |
Practice location
2918 S Greenwood DrApt 20
Johnson City, TN 37604-3261
Phone 276-219-1884
Mailing address
2918 S Greenwood Dr Apt 20Johnson City, TN 37604-3262
Phone 276-219-1884
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 49 Registered Nurse providers in Johnson City · All 4,629 providers in Johnson City
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