Individual provider Active NPI

Rodrike Quentrell Roberts, DNP, FNP-BC

  • Family Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1225741762
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017523 Issued in NC
Practice address
4937 Old Country Club Rd
Winston Salem, NC 27104-5071
Phone
(336) 718-4510
NPI assigned
Dec 29, 2022
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 5017523 NC
Family Nurse Practitioner 363LF0000X 5017523 NC Primary
Primary Care Nurse Practitioner 363LP2300X 5017523 NC

Addresses

Primary practice location

4937 Old Country Club Rd
Winston Salem, NC 27104-5071

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 718-4510

Other practice location 1

8025 N Point Blvd Ste 219
Winston Salem, NC 27106-3262
Phone (336) 355-5037 ext. 101

Other practice location 2

317 W Main St
Sanford, NC 27332-5943
Phone (910) 723-0532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240613000297 NC Practitioner - Nurse Practitioner 0749624799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5017523NCMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Care Solutions LLC CurrentSince Apr 27, 2024 Accepting new patients
I Innovations, Inc. PastSince Nov 8, 2017 Accepting new patients
Compassionate Counseling Services LLC Family PastSince Mar 3, 2022 Accepting new patients

Locations

8025 N Point Blvd
Ste 219
Winston Salem, NC 27106
Phone (336) 355-5037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEBDD/Endpoint/EFEBDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1225741762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-718-4510",
            "fax_number": "336-718-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4937 OLD COUNTRY CLUB RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045071",
            "telephone_number": "336-718-4510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8025 N Point Blvd Ste 219",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271063262",
            "country_code": "US",
            "telephone_number": "336-355-5037 x101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 W Main St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273325943",
            "country_code": "US",
            "telephone_number": "910-723-0532",
            "fax_number": "919-800-3920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RODRIKE",
        "middle_name": "QUENTRELL",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-29",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NC",
            "license": "5017523",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017523",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5017523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.