Active NPI
Lynne Jeanine Roberts, M.D.
- Dermatology Physician
- Dallas, TX
National Provider Identifier
1023134756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- F8647
- Practice address
- 8144 Walnut Hill LN
Ste 360
Dallas, TX 75231-4324 - Phone
- (469) 232-9300
- Fax
- (469) 232-9850
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | F8647 | TX | Primary |
| Dermatology Physician | 207N00000X | 01028675A | IN |
Addresses
Primary practice location
8144 Walnut Hill LN
Ste 360
Dallas, TX 75231-4324
Mailing address
8144 Walnut Hill LN
Ste 360
Dallas, TX 75231-4324
Phone (469) 232-9300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415509 | Other | TX | PHCS |
| 00F78B | Other | TX | BCBS |
| 4111259 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01028675A | IN | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abksw Preferred Health Partners, PLLC | Past | Accepting new patients | |
| Lynne J. Roberts, M.D., P. a. | Dermatology | Past | Accepting new patients |
| Abksw Preferred Health Specialty Partners PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dermatology Physician
- Dallas, TX
- NPI 1104004357
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1184009755
-
- Rheumatology Physician
- Dallas, TX
- NPI 1114689460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1023134756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8144 WALNUT HILL LN",
"address_2": "STE 360",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314324",
"telephone_number": "469-232-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8144 WALNUT HILL LN",
"address_2": "STE 360",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314324",
"telephone_number": "469-232-9300",
"fax_number": "469-232-9850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "LYNNE",
"middle_name": "JEANINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "F8647",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IN",
"license": "01028675A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "415509",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00F78B",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4111259",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.