Individual provider Active NPI

Lauren Elizabeth Roberts, FNP

  • Family Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1295557981
Registry record updated Apr 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN110366687 Issued in FL
Practice address
13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone
(412) 735-2845
NPI assigned
Oct 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F10240599 PA
Family Nurse Practitioner 363LF0000X APRN110366687 FL Primary

Addresses

Primary practice location

13127 Vail Ridge Dr
Riverview, FL 33579-7196

Mailing address

13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone (813) 661-6199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250417001153 FL Practitioner - Nurse Practitioner 1153846688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Shore Cardiovascular Associates IncGroup PAC ID 5092874909, 17 clinicians

Practice addresses (Care Compare)

13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone (813) 661-6199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10240599PAMDFamily Medicine Physician
APRN110366687FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Cardiovascular Associates Inc CurrentSince Apr 1, 2025 Accepting new patients

Locations

425 S Kings Ave
Brandon, FL 33511
Phone (813) 661-6199

608 Medical Care Dr
Brandon, FL 33511
Phone (813) 684-2506

1159 Nikki View Dr
Brandon, FL 33511
Phone (813) 661-6199

13127 Vail Ridge Dr
Riverview, FL 33579
Phone (813) 661-6199

4051 Upper Creek Dr
Ste 110
Sun City Center, FL 33573
Phone (813) 633-2504

14525 Bruce B Downs Blvd
#5
Tampa, FL 33613
Phone (813) 661-6199

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745107200000",
    "number": "1295557981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13127 VAIL RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797196",
            "telephone_number": "813-661-6199",
            "fax_number": "813-661-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13127 VAIL RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797196",
            "telephone_number": "412-735-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "F10240599",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN110366687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.