Active NPI
Anne Elizabeth Roberts, M.D.
- Internal Medicine Physician
- Springfield, MO
National Provider Identifier
1407086168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 104107
- Practice address
- 1530 E Primrose St
Suite C
Springfield, MO 65804-7928 - Phone
- (417) 823-8318
- NPI assigned
- Jul 15, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 104107 | MO | Primary |
Addresses
Primary practice location
1530 E Primrose St
Suite C
Springfield, MO 65804-7928
Mailing address
1530 E Primrose St
Suite C
Springfield, MO 65804-7928
Phone (417) 823-8318
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104107 | MO | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247616000000",
"number": "1407086168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 E PRIMROSE ST",
"address_2": "SUITE C",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658047928",
"telephone_number": "417-823-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 E PRIMROSE ST",
"address_2": "SUITE C",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658047928",
"telephone_number": "417-823-8318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2009-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "104107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
- Stephanie J Robbins, MS, LPC
- Robert a Carter DC PC (Camelot Chiropractic Care)
- Robert Jason Grant Ed.D Autplay Therapy Clinic
- Robert L. Dubinick, DC, PC
- Robert T. Dewar, DDS., PC
- Donna M Roberts, MD
- Megan Ann-Melugin Roberts, PT, DPT
- Nancy Ellen Roberts, N.P.
- Nathan Roberts, M.D.
- Nikole K Roberts, PHD, LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.