Kirsten Roberts

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704178391 Issued in MI

Practice address

1184 Cleaver Rd Ste 300
Caro, MI 48723-1165

Phone

(989) 282-4003

NPI assigned

Apr 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Northview Medical House Calls PLC

  dba Careline Physician Services

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1336447002
  Medicare reassignment NPD
• Prime Medical Group PC

  dba Flint Cardiovascular Consultants

  • Cardiovascular Disease Physician
  • Flint, MI
  • NPI 1861615452

  Nurse Practitioner

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375
  Medicare reassignment
• Wellbridge of Clarkston, LLC

  • Skilled Nursing Facility
  • Independence Township, MI
  • NPI 1669965299
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1295269843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 SHAPPIE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483481959",
            "telephone_number": "248-625-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 CLEAVER RD STE 300",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231165",
            "telephone_number": "989-282-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KIRSTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704178391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliacare Agency, Inc.
• Reliacare Home Health Services
• Ann Retka, PT, DPT
• Mary K. Richards, LMSW
• Carol Marie Richardson, ANP
• Michele Lynn Rodriguez, OTR
• Brice Rolston, M.D.
• Curtis William Romp, DPT
• Logan Laine Rowell
• Susan Rudy

• Adult Health Nurse Practitioner in Caro, MI
• Providers in Caro, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.