Active NPI
Roberta Mary Stewart, MSN RN FNP
- Nurse Practitioner
- Portsmouth, VA
National Provider Identifier
1396847778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024057384
- Practice address
- 3315 High St
Portsmouth, VA 23707-3319 - Phone
- (757) 399-0759
- Fax
- (757) 399-3892
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024057384 | VA | Primary |
Addresses
Primary practice location
3315 High St
Portsmouth, VA 23707-3319
Mailing address
3315 High St
Portsmouth, VA 23707-3319
Phone (757) 399-0759
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024057384 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult and Pediatric Neurosurgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Norfolk, VA
- NPI 1861686404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1396847778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 HIGH ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073319",
"telephone_number": "757-399-0759",
"fax_number": "757-399-3892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 HIGH ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073319",
"telephone_number": "757-399-0759",
"fax_number": "757-399-3892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "ROBERTA",
"middle_name": "MARY",
"credential": "MSN RN FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024057384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.