Victoria Lynn Roberts, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

26779 Issued in KY

Practice address

11335 SSG Sims Road
Fort Bliss, TX 79918

Phone

(915) 742-2273

NPI assigned

Oct 5, 2006

Last updated

Nov 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Victoria Lynn Yadon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• East Louisville Pediatrics, P.S.C.

  dba East Louisville Pediatrics

  • Pediatrics Physician
  • Louisville, KY
  • NPI 1699792465
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1275629636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11335 SSG SIMS ROAD",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79918",
            "telephone_number": "915-742-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 SSG SIMS ROAD",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79918",
            "telephone_number": "915-742-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "26779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "YADON",
            "middle_name": "LYNN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Phoebe Riley, MD
• Andres Alfonso Rivera II
• Claudia Rivera
• Maria Rivera, BSN. RN.CCM.
• Kaleb Roberts, DO
• Jeremy Allen Robinson
• Ana Robles
• Joshua Lloyd Rockwood, DMD
• Edgar Rodriguez, M.D., M.P.H.
• Jesus R Rodriguez

• Pediatrics Physician in Fort Bliss, TX
• Providers in Fort Bliss, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.