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Angelique Lashae Roberson

Physician β€’ Tulsa, OK

Active NPI 1518693852 Individual Practitioner Female Practitioner
Practice location in NPPES

4103 S Yale Ave Ste B
Tulsa, OK 741356002

Call 9183827300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4103 S Yale Ave Ste B

Tulsa, OK 741356002

Telephone 9183827300
Organization at the Same NPPES Address or Phone
Creoks Mental Health Services Facility NPI 1841311289

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-18
Community/Behavioral Health Primary Specialty

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Huong Doan

Nurse Practitioner - Family

NPI 1861915324
Dr. Dawn Lafromboise , MD

Psychiatry & Neurology - Psychiatry

NPI 1497818926

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated November 18, 2022

Recorded as ANGELIQUE ROBERSON

βœ…
NPI Profile Active July 28, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 28, 2022

Registered at 4103 S YALE AVE STE B, TULSA, OK 741356002 (Tel: 9183827300)

πŸ“
Business Mailing Address (Initial Record) July 28, 2022

Registered at 4103 S YALE AVE STE B, TULSA, OK 741356002 (Tel: 9183827300)

πŸ‘€
Provider Name / Credentials (Initial Record) July 28, 2022

Recorded as ANGELIQUE SNEED-ROBERSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2022

Community/Behavioral Health

🟒
Initial NPI Registration & Enumeration July 28, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1518693852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2022
Last Update: November 18, 2022
Sole Proprietor: Yes

Mailing Address

4103 S Yale Ave Ste B

Tulsa, OK 741356002

Phone: 9183827300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.