Denise M Roberson, APRN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11011631 Issued in FL

Practice address

56 Russell Dr
Palm Coast, FL 32164-6909

Phone

(386) 597-9306

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Restorixhealth at-Home, LLC

  • Nurse Practitioner
  • Metairie, LA
  • NPI 1255974689
  NPD
• WCS Professional Services of Florida, LLC

  • Nurse Practitioner
  • Metairie, LA
  • NPI 1659782415
  NPD

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1174190474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 RUSSELL DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646909",
            "telephone_number": "386-597-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 RUSSELL DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646909",
            "telephone_number": "386-597-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "DENISE",
        "middle_name": "M",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "56 Russell Dr",
            "city": "Palm Coast",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321646909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "medicalpractitioner2021@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "56 Russell Dr",
            "city": "Palm Coast",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321646909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariana Alejandra Rivera Rodriguez, MD
• Matthew Rivera
• Miguel Angel Rivera, LMHC
• Sierra Rivera
• Diana Robbins, NP
• Robert C. Bianco, MD, PA
• Chad Roberts, PT
• Cynthia Dianne Roberts, LMHC
• Maribel Quinones Roberts, PTA
• Shawn D Roberts, RBT

• Family Nurse Practitioner in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.

Verify at the official NPI Registry.