Individual provider Active NPI

Maria Christine Roberts, LPN

  • Licensed Practical Nurse
  • Charles Town, WV
National Provider Identifier
1013624048
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP52270 Issued in MD
Practice address
221 N Seminary St Apt 100
Charles Town, WV 25414-1861
Phone
(240) 452-6044
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP52270 MD Primary

Addresses

Primary practice location

221 N Seminary St Apt 100
Charles Town, WV 25414-1861

Mailing address

3531 Chestnut Grove Rd
Keedysville, MD 21756-1711
Phone (240) 452-6044

Other practice location 1

900 Virginia St E
Charleston, WV 25301-2835
Phone (681) 313-4759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LP52270MDMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1013624048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 CHESTNUT GROVE RD",
            "city": "KEEDYSVILLE",
            "state": "MD",
            "postal_code": "217561711",
            "telephone_number": "240-452-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N SEMINARY ST APT 100",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141861",
            "telephone_number": "240-452-6044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Virginia St E",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253012835",
            "country_code": "US",
            "telephone_number": "681-313-4759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MARIA",
        "middle_name": "CHRISTINE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP52270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles Town, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.