Angela S Roberts, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10000258A Issued in IN

Practice address

11 Riverside Dr
Suite 200
Cocoa, FL 32922-7840

Phone

(321) 221-7447

Fax

(321) 221-7448

NPI assigned

Mar 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2982/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Che Behavioral Health Services of Florida, P.a.

  • Community/Behavioral Health Agency
  • Ft Lauderdale, FL
  • NPI 1932721206
  Medicare reassignment
• Osler Hma Medical Group LLC

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1518259050
  NPD (past)
• Physicians of South Florida, LLC

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1841430006
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1023077641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227840",
            "telephone_number": "321-221-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227840",
            "telephone_number": "321-221-7447",
            "fax_number": "321-221-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ANGELA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000258A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005813400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Richter
• Giselle G Rios, APRN
• Ruben Jose Rivera Rivera, M.D.
• Maritza Rivera-Morales
• Riverside Medical Center, PA
• Detrish Speed Roberts
• Amy Robinson
• Rocio Garcia-Acevedo
• Karen L Rodriguez, MA CCC-SLP
• Sara Marie Rodriguez, PHARMD

• Medical Physician Assistant in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.