Look up the most recent NPI and PECOS records

Keisandra Griffith-Roberts

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Keisandra Griffith-Roberts is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1609471812
Provider Type
Individual
Full Name
Griffith-Roberts, Keisandra
Title
Ms.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/3/2020
Last Updated
12/3/2020

Contact Information

Practice Location

542 E 49th St, Brooklyn, NY 11203-4304

(718) 498-3669

Unlisted Fax

Mailing Location

542 E 49th St, Brooklyn, NY 11203-4304

(718) 498-3669

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 342315 New York

Keisandra Griffith-Roberts

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Thomas, Oneika

Singleton, Joanne K

Johnson, Pauline Marie

Gelling, Maureen Catherine

Lee, Byoung Im

Mpeters Np In Family Health Pc

Amisial, Cecile

Irving-Brantley, Aquina

James, June

Wassef, Forzhia Gem