Charlotte Ann Roeber, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R145621-3 Issued in MN

Practice address

1321 13TH St N
Saint Cloud, MN 56303-2613

Phone

(320) 252-5010

Fax

(320) 252-0908

NPI assigned

Aug 5, 2006

Last updated

Jul 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1073522777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 ITEN RD NW",
            "city": "RICE",
            "state": "MN",
            "postal_code": "563679698",
            "telephone_number": "320-229-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 13TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032613",
            "telephone_number": "320-252-5010",
            "fax_number": "320-252-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEBER",
        "first_name": "CHARLOTTE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "R145621-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rose Robinson
• Nicole M Robinson
• Jennifer Kay Rocheleau Dorholt, PSYD, LP
• Teresa Mary Rock, BES, LADC
• Zachary Marcus Rodgers
• Kendra L.E. Roehl, LICSW
• Tracy Ann Roehl, APRN CNP
• Krysta Rae Roemeling, LPCC, LADC
• Amanda Marie Roerick, CNP
• Donna Roerick, CERTIFIED HEALTH COA

• Adult Health Nurse Practitioner in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Adult Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.