Active NPI
Patricia Roberts, MSN, CPNP, FNP
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1316991615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN00455
- Practice address
- 4750 W Oakey Blvd Ste 1a
Las Vegas, NV 89102-1535 - Phone
- (702) 724-8844
- Fax
- (702) 724-8754
- NPI assigned
- May 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | RN23860 | NV | |
| Nurse Practitioner | 363L00000X | APRN00455 | NV | Primary |
Addresses
Primary practice location
4750 W Oakey Blvd Ste 1a
Las Vegas, NV 89102-1535
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
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
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507766400000",
"number": "1316991615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 W OAKEY BLVD STE 1A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021535",
"telephone_number": "702-724-8844",
"fax_number": "702-724-8754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "PATRICIA",
"credential": "MSN, CPNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2017-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "NV",
"license": "RN23860",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN00455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.