Lacie Marie Roberts

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

License

959361 Issued in TX

Practice address

6869 Elmwood TRL
Gilmer, TX 75645-8255

Phone

(903) 424-8570

NPI assigned

Aug 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1356996078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6869 ELMWOOD TRL",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756458255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6869 ELMWOOD TRL",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756458255",
            "telephone_number": "903-424-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LACIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "TX",
            "license": "959361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robelaci2524@go.kilgore.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "6869 Elmwood Trl",
            "city": "Gilmer",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756458255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Pritchett
• Provider Partners
• Ramm Health Care Corporation
• Renal Care Group Texas, Inc.
• Renal Treatment Centers-Southeast, LP.
• Matthew S Roberts, PA
• Shiloh Suzanne Roberts, O.D.
• Susan Mary Robinson, MS, NBC-HWC
• April Ross, RN
• Rucker S. Murry, MD

• Maternal Newborn Registered Nurse in Gilmer, TX
• Providers in Gilmer, TX by specialty
• Maternal Newborn Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.