Individual provider Active NPI

Lisa Anne Roberts, RN

  • Continuing Education/Staff Development Registered Nurse
  • Mesa, AZ
National Provider Identifier
1033385182
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X
License
RN117825 Issued in AZ
Practice address
10654 E Ananea Ave
Mesa, AZ 85208-8738
Phone
(480) 218-5797
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Continuing Education/Staff Development Registered Nurse 163WC1600X RN117825 AZ Primary
High-Risk Obstetric Registered Nurse 163WX0002X RN117825 AZ

Addresses

Primary practice location

10654 E Ananea Ave
Mesa, AZ 85208-8738

Mailing address

10654 E Ananea Ave
Mesa, AZ 85208-8738
Phone (480) 218-5797

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN117825AZMDContinuing Education/Staff Development Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1033385182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10654 E ANANEA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852088738",
            "telephone_number": "480-218-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10654 E ANANEA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852088738",
            "telephone_number": "480-218-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "AZ",
            "license": "RN117825",
            "primary": true
        },
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "AZ",
            "license": "RN117825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.