Individual provider Active NPI

Lindsey Marie Roberts, PA-C

  • Medical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1073866018
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5785 Issued in AZ
Practice address
7342 E Thomas Rd Ste 105
Scottsdale, AZ 85251-7243
Phone
(480) 821-3600
Fax
(480) 857-2667
NPI assigned
Oct 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5185 AZ
Medical Physician Assistant 363AM0700X 5785 AZ Primary

Addresses

Primary practice location

7342 E Thomas Rd Ste 105
Scottsdale, AZ 85251-7243

Mailing address

PO Box 6730
Chandler, AZ 85246-6730
Phone (480) 821-3600

Other practice location 1

6320 W. Union Hills Dr.
Bldg. B Ste. # 1600
Glendale, AZ 85308
Phone (602) 357-2400

Other practice location 2

6320 W. Union Hills Dr.
Bldg. B Ste. # 1600
Glendale, AZ 85308
Phone (602) 357-2400

Other practice location 3

1634 S Priest Dr Ste 101
Tempe, AZ 85281-6499
Phone (480) 917-6480

Other practice location 4

21755 N 77th Ave Ste 1200
Peoria, AZ 85382-2112
Phone (623) 907-2377

Other practice location 5

10240 W Indian School Rd Ste 100
Phoenix, AZ 85037-5905
Phone (623) 907-2377

Other practice location 6

7342 E Thomas Rd Ste 105
Scottsdale, AZ 85251-7243
Phone (480) 917-6480

Other identifiers 1

IdentifierTypeStateIssuer
753124MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20130104000048 AZ Practitioner - Physician Assistant 3173776911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momdoc LLCGroup PAC ID 3375534282, 62 clinicians

Practice addresses (Care Compare)

Chandler, AZ 85224
Phone (480) 821-3600

1634 S Priest Dr
Suite 101
Tempe, AZ 85281-6499
Phone (480) 821-3600

7342 E Thomas Rd
Suite 105
Scottsdale, AZ 85251-7243
Phone (480) 821-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5185AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Pregnancy Perinatology, LLC PastSince Nov 19, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1073866018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6730",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466730",
            "telephone_number": "480-821-3600",
            "fax_number": "480-857-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7342 E THOMAS RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517243",
            "telephone_number": "480-821-3600",
            "fax_number": "480-857-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6320 W. Union Hills Dr.",
            "address_2": "Bldg. B Ste. # 1600",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "85308",
            "country_code": "US",
            "telephone_number": "602-357-2400",
            "fax_number": "602-357-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6320 W. Union Hills Dr.",
            "address_2": "Bldg. B Ste. # 1600",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "85308",
            "country_code": "US",
            "telephone_number": "602-357-2400",
            "fax_number": "602-357-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1634 S Priest Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852816499",
            "country_code": "US",
            "telephone_number": "480-917-6480",
            "fax_number": "480-857-2667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21755 N 77th Ave Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853822112",
            "country_code": "US",
            "telephone_number": "623-907-2377",
            "fax_number": "480-857-2667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10240 W Indian School Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850375905",
            "country_code": "US",
            "telephone_number": "623-907-2377",
            "fax_number": "480-857-2667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7342 E Thomas Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852517243",
            "country_code": "US",
            "telephone_number": "480-917-6480",
            "fax_number": "480-857-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5185",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "753124",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.