Individual provider Active NPI

Brittany Roberts

  • Physician Assistant
  • McKinney, TX
National Provider Identifier
1215695887
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15130 Issued in TX
Practice address
2760 Virginia Pkwy Ste 200
McKinney, TX 75071-4964
Phone
(469) 587-7546
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15130 TX Primary

Addresses

Primary practice location

2760 Virginia Pkwy Ste 200
McKinney, TX 75071-4964

Mailing address

3102 Wood Fair CT
Mission, TX 78574-1943
Phone (956) 655-8303

Other practice location 1

2101 S. Cynthia Plex A
McAllen, TX 78503-1294
Phone (956) 687-7896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211216000632 TX Practitioner - Physician Assistant 9032500616 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates, Inc Past 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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1215695887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 WOOD FAIR CT",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785741943",
            "telephone_number": "956-655-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 VIRGINIA PKWY STE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714964",
            "telephone_number": "469-587-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 S. Cynthia Plex A",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785031294",
            "country_code": "US",
            "telephone_number": "956-687-7896",
            "fax_number": "956-994-9694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2022-05-05",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.