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ROBERTA J PEREGRINE
NPI 1134110893
Prosthetist in Saint Joseph, MO

Active since November 02, 2005
2602 FREDERICK AVE, STE A, SAINT JOSEPH, MO 64506(816) 387-8858(816) 387-8858 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roberta J Peregrine NPPES

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

ROBERTA J PEREGRINE (NPI 1134110893) is an individual prosthetist provider in Saint Joseph, Missouri and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1134110893
Entity TypeIndividualFemale
Primary Taxonomy224P00000X
Provider Legal NameROBERTA J PEREGRINE
Location Address2602 FREDERICK AVE, STE ASaint Joseph, MO 64506-2840
Mailing Address2602 Frederick Ave, Ste ASaint Joseph, MO 64506-2847 · (816) 387-8858 · Fax (816) 387-8858
Phone(816) 387-8858
Fax(816) 387-8858
Sole ProprietorYes
Enumeration DateNovember 2, 2005
Last NPPES UpdateMarch 18, 2008
✔ NPI 1134110893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
2602 FREDERICK AVE, Saint Joseph, MO 64506
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Other Identifiers 2

Medicare NSC3852580001MO
Other27826022MO · Bluecrossblueshield

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERTA J PEREGRINE
Prosthetic/Orthotic Supplier
2602 FREDERICK AVE, STE A
SAINT JOSEPH, MO 64506
Buchanan County (816) 387-8858

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 Roberta Peregrine's NPI number?

The NPI number for Roberta Peregrine is 1134110893. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Roberta Peregrine located?

Roberta Peregrine practices at 2602 Frederick Ave Ste A, Saint Joseph, MO 64506. The listed phone number is (816) 387-8858.

What is Roberta Peregrine's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Roberta Peregrine was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.