Active NPI
Christopher James Roberson, CRNP
- Adult Health Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R179907
- Practice address
- 827 Linden Ave Ste B
Baltimore, MD 21201-4606 - Phone
- (410) 328-5487
- Fax
- (410) 328-4430
- NPI assigned
- Jun 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R179907 | MD | |
| Primary Care Nurse Practitioner | 363LP2300X | R179907 | MD | |
| Adult Health Nurse Practitioner | 363LA2200X | R179907 | MD | Primary |
Addresses
Primary practice location
827 Linden Ave Ste B
Baltimore, MD 21201-4606
Mailing address
877 1/2 W Lombard St
Baltimore, MD 21201-1061
Phone (443) 857-7247
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700404400 | Medicaid | MD | |
| S062-0538 | Other | MD | CAREFIRST BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R179907 | MD | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| Sinai Hospital of Baltimore, Inc | Current | Accepting new patients | |
| University of Maryland Physicians PA | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Past | Accepting new patients |
Locations
827 Linden Ave
Ste B
Baltimore, MD 21201
Phone (410) 225-8230
2435 W Belvedere Ave
Ste 17
Baltimore, MD 21215
Phone (410) 601-5941
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
849 Fairmount Ave
Ste 100B
Towson, MD 21286
Phone (410) 235-1168
Organizations & group practices 8
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.
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-
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- Infectious Disease Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1184064941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 1/2 W LOMBARD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011061",
"telephone_number": "443-857-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 LINDEN AVE STE B",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212014606",
"telephone_number": "410-328-5487",
"fax_number": "410-328-4430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-26",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "R179907",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "R179907",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R179907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "700404400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "S062-0538",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.