Wanda S Roberts, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

40708 Issued in CO

Practice address

1365 Hickory Dr
Erie, CO 80516-7926

Phone

(303) 926-4339

NPI assigned

Oct 15, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1003068644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 HICKORY DR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167926",
            "telephone_number": "303-926-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 HICKORY DR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167926",
            "telephone_number": "303-926-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "WANDA",
        "middle_name": "S",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "40708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Rhodes Richardson, PA-C
• Rill Four LLC
• Asha Annah Rizzo, FNP-C
• Manuela Roa Gonzalez, MSW, SWC
• Aimee Leigh Robb, PT, DPT
• Ari Robkin
• Jessica Rodenburg
• Gustavo Rodriguez, MD
• Sarah Rohr, OD
• Karen I Rojas

• Registered Nurse in Erie, CO
• Providers in Erie, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.