Derek Roberts Aprn, P.a.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DEREK ROBERTS APRN, P.A.

Practice address

8100 E 22ND St N Ste 1600-B
Wichita, KS 67226-2321

Phone

(316) 201-6424

NPI assigned

Jul 9, 2021

Last updated

Jul 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek Roberts, APRN-BCNPI 1043735509

Title

Aprn-BC

Phone

(316) 201-6424

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derek L Roberts, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
  • NPI 1043735509
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1245801380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N STE 1600-B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262321",
            "telephone_number": "316-201-6424",
            "fax_number": "316-201-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N STE 1600-B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262321",
            "telephone_number": "316-201-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK ROBERTS APRN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "APRN-BC",
        "authorized_official_telephone_number": "316-201-6424",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicholas Jacob Desch, DDS
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• Psychiatric/Mental Health Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.