Active NPI
Maryanne Roberts, MD
- Prevention Professional
- Alexandria, VA
National Provider Identifier
1326791948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- CN-0010025
- Practice address
- 4621 Seminary Rd Apt 201
Alexandria, VA 22304-1400 - Phone
- (703) 939-3495
- NPI assigned
- Feb 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | CN-0010025 | DE | Primary |
Addresses
Primary practice location
4621 Seminary Rd Apt 201
Alexandria, VA 22304-1400
Mailing address
4621 Seminary Rd Apt 201
Alexandria, VA 22304-1400
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CN-0010025 | DE | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1326791948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4621 SEMINARY RD APT 201",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4621 SEMINARY RD APT 201",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041400",
"telephone_number": "703-939-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "MARYANNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-02",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "DE",
"license": "CN-0010025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.