Paul R Roberts

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

816 W Evergreen St
Durant, OK 74701-4752

Phone

(580) 642-4238

NPI assigned

Mar 8, 2023

Sex

Male

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1194425157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W EVERGREEN ST",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747014752",
            "telephone_number": "580-642-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W EVERGREEN ST",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747014752",
            "telephone_number": "580-642-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "PAUL",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adele Nicole Rister
• Lesley Yaneth Rivas Lopez
• Riverbend Counseling Services, LLC
• Teresa Robbins
• Casey Alan Roberts, D.D.S.
• Stacy Roberts
• Tonja R. Roberts
• Amanda Robertson, APRN, CNP, PMHNP-BC
• Renee Robertson, MA, LPC
• Pamela Robins Looney

• Peer Specialist in Durant, OK
• Providers in Durant, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.