Active NPI
Connie Jane Roberts, C.R.N.P., MSN
- Women's Health Nurse Practitioner
- Salisbury, MD
National Provider Identifier
1043322597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RO86902
- Practice address
- 300 West Carroll Street
Salisbury, MD 21801 - Phone
- (410) 543-6962
- Fax
- (410) 548-5151
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RO86902 | MD | Primary |
Addresses
Primary practice location
300 West Carroll Street
Salisbury, MD 21801
Mailing address
108 East Main Street
Salisbury, MD 21801
Phone (410) 543-6962
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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO86902 | MD | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1043322597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 EAST MAIN STREET",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21801",
"telephone_number": "410-543-6962",
"fax_number": "410-548-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WEST CARROLL STREET",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21801",
"telephone_number": "410-543-6962",
"fax_number": "410-548-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CONNIE",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "C.R.N.P., MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MD",
"license": "RO86902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.