Active NPI
Roberta Lynn Turner, FNP
- Primary Care Nurse Practitioner
- Pocatello, ID
National Provider Identifier
1316034689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NP463A
- Practice address
- 500 S. 11TH Ave
Suite 303
Pocatello, ID 83201 - Phone
- (208) 239-3815
- Fax
- (208) 239-3814
- NPI assigned
- Oct 6, 2006
- Last updated
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NP463A | ID | Primary |
Addresses
Primary practice location
500 S. 11TH Ave
Suite 303
Pocatello, ID 83201
Mailing address
500 S. 11TH Ave
Suite 303
Pocatello, ID 83201
Phone (208) 239-3815
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010159282 | Other | ID | BLUE SHIELD-LAVA |
| NPYF6 | Other | ID | BLUE CROSS-DOWNEY |
| 000010159283 | Other | ID | BLUE SHIELD-DOWNEY |
| NPYF4 | Other | ID | BLUE CROSS-POCATELLO |
| P00434966 | Other | ID | RAILROAD MEDICARE |
| 000010159380 | Other | ID | BLUE SHIELD-AM FALLS |
| NPYF2 | Other | ID | BLUE CROSS-LAVA |
| 807618400 | Medicaid | ID | |
| 000010159285 | Other | ID | BLUE SHIELD-POCATELLO |
| 000010159381 | Other | ID | BLUE SHIELD-ABERDEEN |
| NPYF3 | Other | ID | BLUE CROSS-ABERDEEN |
| NPYF5 | Other | ID | BLUE CROSS-AM FALLS |
| NPYJ2 | Other | ID | BLUE CROSS-MCCAMMON |
| 1316034689 | Medicaid | ID |
Other names 1
- Roberta Turner Horton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP463A | ID | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1316034689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S. 11TH AVE",
"address_2": "SUITE 303",
"city": "POCATELLO",
"state": "ID",
"postal_code": "83201",
"telephone_number": "208-239-3815",
"fax_number": "208-239-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S. 11TH AVE",
"address_2": "SUITE 303",
"city": "POCATELLO",
"state": "ID",
"postal_code": "83201",
"telephone_number": "208-239-3815",
"fax_number": "208-239-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "ROBERTA",
"middle_name": "LYNN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "ID",
"license": "NP463A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD-LAVA",
"identifier": "000010159282",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-DOWNEY",
"identifier": "NPYF6",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD-DOWNEY",
"identifier": "000010159283",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-POCATELLO",
"identifier": "NPYF4",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00434966",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD-AM FALLS",
"identifier": "000010159380",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-LAVA",
"identifier": "NPYF2",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807618400",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD-POCATELLO",
"identifier": "000010159285",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD-ABERDEEN",
"identifier": "000010159381",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-ABERDEEN",
"identifier": "NPYF3",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-AM FALLS",
"identifier": "NPYF5",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-MCCAMMON",
"identifier": "NPYJ2",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316034689",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERTA",
"last_name": "HORTON",
"middle_name": "TURNER",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pocatello, ID
- Emmerson Tucker
- Lindsay Anne Tucker, AU.D.
- Michael A Tucker, O.D.
- Shelby Leigh Turk Rice, LPC, CRC, NCC
- Jared G Turner, PHARM D
- Trent P Turner, LCSW
- Turning Point Counseling & Partial Care Center, Inc
- Turning Point Counseling and Partial Care Center Inc
- Jason Turpin
- Tyler Kent Marlowe DDS PLLC (Portneuf Valley Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.