Marsha Anne Roberts, RN
Individual provider Active NPI Registered Nurse · Lake Ozark, MO
NPI 1366238263 · NPPES record last updated Apr 17, 2025
Key facts
- NPI
- 1366238263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 2021039477 (MO)
- Practice address
- 130 Calo LN
Lake Ozark, MO 65049-9208 - Phone
- (573) 746-7361
- Fax
- (573) 746-7303
- NPI assigned
- Apr 17, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041395630 | IL | MD | Registered Nurse |
| 2021039477 | MO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041395630 | IL | |
| Registered Nurse | 163W00000X | 2021039477 | MO | Yes |
Addresses
Primary practice location
130 Calo LN
Lake Ozark, MO 65049-9208
Mailing address
5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041395630 | Other | IL | LICENSE |
| 2021039477 | Other | MO | LICENSE |
Other providers in Lake Ozark, MO
- Richland Medical Center, Inc.
- Montana Rios
- David Robb
- Kathleen M Robbins
- Robert Carroll, DDS, PC
- Britny Rockelman
- Belinda C Rogers
- Laura Rogers
- School of the Osage R-II
- Stacy Leigh Sederwall
All providers in Lake Ozark, MO · Registered Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.