Kevin Jay Roberts, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

30228 Issued in NC

Practice address

3 Walden Ridge Dr
Suite 200
Asheville, NC 28803-8587

Phone

(828) 684-0414

Fax

(828) 684-0677

NPI assigned

Oct 6, 2005

Last updated

Nov 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1326036104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WALDEN RIDGE DR",
            "address_2": "SUITE 200",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038586",
            "telephone_number": "828-684-0414",
            "fax_number": "828-684-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WALDEN RIDGE DR",
            "address_2": "SUITE 200",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038587",
            "telephone_number": "828-684-0414",
            "fax_number": "828-684-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KEVIN",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "30228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "72192",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8972192",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Norton Roberts, LMCHCS
• Erich Samuel Roberts, LCSW
• Hannah Marie Roberts, MD
• Jason M Roberts, MD
• Jeffrey S Roberts, MD
• Leanne Marie Roberts, FNP-C
• Marla Michelle Roberts
• Mary Roberts, PLCSW
• Mayu Toner Roberts, MD
• Melissa Ann Roberts

• Psychiatry Physician in Asheville, NC
• Providers in Asheville, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.