Individual provider Active NPI

Marsha Victoria Thomas-Roberts, DIRECTOR

  • Registered Nurse
  • Saint Louis, MO
National Provider Identifier
1346248739
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26D0921638 Issued in MO
Practice address
23 N Oaks PLZ
Suite 250
Saint Louis, MO 63121-2917
Phone
(314) 382-9700
Fax
(314) 385-2500
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26D0921638 MO Primary

Addresses

Primary practice location

23 N Oaks PLZ
Suite 250
Saint Louis, MO 63121-2917

Mailing address

23 N Oaks PLZ
Saint Louis, MO 63121-2917
Phone (314) 382-9700

Other identifiers 1

IdentifierTypeStateIssuer
588648501MedicaidMO

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

State licenses

LicenseStateTypeSpecialty
26D0921638MOMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1346248739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N OAKS PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631212917",
            "telephone_number": "314-382-9700",
            "fax_number": "314-385-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N OAKS PLZ",
            "address_2": "SUITE 250",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631212917",
            "telephone_number": "314-382-9700",
            "fax_number": "314-385-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-ROBERTS",
        "first_name": "MARSHA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "DIRECTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "26D0921638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "588648501",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.