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MR. JERRELL DE'ANDRE ROBERTS
NPI 1003195488
Rehabilitation Practitioner in North Las Vegas, NV

Active since August 16, 2011
2704 PROSPECTOR MINE AVE, NORTH LAS VEGAS, NV 89031(702) 647-5300 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jerrell De'andre Roberts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERRELL DE'ANDRE ROBERTS (NPI 1003195488) is an individual rehabilitation practitioner in North Las Vegas, Nevada and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1003195488
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameMR. JERRELL DE'ANDRE ROBERTS
Location Address2704 PROSPECTOR MINE AVENorth Las Vegas, NV 89031-1188
Mailing Address2704 Prospector Mine AveNorth Las Vegas, NV 89031-1188 · (702) 647-5300
Phone(702) 647-5300
Sole ProprietorYes
Enumeration DateAugust 16, 2011
Last NPPES UpdateSeptember 16, 2011
✔ NPI 1003195488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
2704 PROSPECTOR MINE AVE, North Las Vegas, NV 89031
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrell Roberts's NPI number?

The NPI number for Jerrell Roberts is 1003195488. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Where is Jerrell Roberts located?

Jerrell Roberts practices at 2704 Prospector Mine Ave, North Las Vegas, NV 89031. The listed phone number is (702) 647-5300.

What is Jerrell Roberts's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Jerrell Roberts was last updated on September 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.