Individual provider Active NPI

Lasaundra Roberts, APMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1275847873
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R874069 Issued in MS
Practice address
1818 College Drive
Meridian, MS 39307-5429
Phone
(601) 581-7600
Fax
(601) 483-5543
NPI assigned
Aug 6, 2010
Last updated
Dec 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R874069 MS Primary

Addresses

Primary practice location

1818 College Drive
Meridian, MS 39307-5429

Mailing address

P.O. Box 4128 West Station
Meridian, MS 39304-4128
Phone (601) 581-7719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20101103000989 MS Practitioner - Nurse Practitioner 6406040484 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Medicine Clinic, PAGroup PAC ID 5092889360, 9 clinicians
Laird Hospital, Inc.Group PAC ID 7214991769, 30 clinicians
Kemper Cah, Inc.Group PAC ID 5991985012, 28 clinicians

Practice addresses (Care Compare)

2208 Hwy 39 N
Meridian, MS 39301-2605
Phone (601) 482-2400

252 Northside Dr
Newton, MS 39345-9756
Phone (601) 683-3117

4331 Hwy 39 N
Meridian, MS 39301-1007
Phone (601) 484-6180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R874069MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laird Hospital, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Kemper Cah, Inc CurrentSince Nov 17, 2025 Accepting new patients
Kemper Cah, Inc. Current Accepting new patients
Laird Hospital, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Behavioral Medicine Clinic,PA CurrentSince Jul 19, 2022 Accepting new patients
Kemper, Cah, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Laird Hospital, Inc. Current Accepting new patients
Maxie Gordon MD & Associates, PLLC Past Accepting new patients

Locations

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

4331 Highway 39 N
Meridian, MS 39301
Phone (601) 482-5735

252 Northside Dr
Newton, MS 39345
Phone (601) 683-3117

Organizations & group practices 8

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": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1275847873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4128 WEST STATION",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393044128",
            "telephone_number": "601-581-7719",
            "fax_number": "601-483-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 COLLEGE DRIVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393075429",
            "telephone_number": "601-581-7600",
            "fax_number": "601-483-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LASAUNDRA",
        "name_prefix": "Mrs.",
        "credential": "APMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R874069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.