Individual provider Active NPI

Aaron James Roberts, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1417440314
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60864430 Issued in WA
Practice address
107 S Division St
Spokane, WA 99202-1510
Phone
(509) 838-4651
NPI assigned
Jun 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60864430 WA Primary

Addresses

Primary practice location

107 S Division St
Spokane, WA 99202-1510

Mailing address

107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200218000899 WA Practitioner - Nurse Practitioner 9234488107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spokane Behavioral Health LLCGroup PAC ID 2961757489, 24 clinicians
Frontier Behavioral HealthGroup PAC ID 5092603340, 39 clinicians

Practice addresses (Care Compare)

104 W 5TH Ave
Spokane, WA 99204-4820
Phone (623) 670-0840

107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60864430WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Behavioral Health LLC CurrentSince Dec 24, 2019 Accepting new patients
Frontier Behavioral Health Psychiatric/Mental Health CurrentSince Aug 12, 2024 Accepting new patients

Locations

2102 E Sprague Ave
Spokane, WA 99202

5125 N Market St
Spokane, WA 99217
Phone (509) 458-7450

1330 N Washington St
Ste 4000
Spokane, WA 99201

2118 E Sprague Ave
Spokane, WA 99202

127 W Boone Ave
Spokane, WA 99201
Phone (509) 720-9513

1330 N Washington St
Ste 4100
Spokane, WA 99201

107 S Division St
Spokane, WA 99202
Phone (509) 383-4651

1401 N Calispel St
Spokane, WA 99201
Phone (406) 740-2150

17 E 1st Ave
Spokane, WA 99202
Phone (206) 866-4213

131 S Division St
Spokane, WA 99202
Phone (509) 532-2000

505 E North Foothills Dr
Spokane, WA 99207
Phone (509) 325-5502

104 W 5th Ave
Spokane, WA 99204
Phone (509) 992-1888

5901 N Lidgerwood St
Ste 115
Spokane, WA 99208
Phone (509) 466-6632

1101 N Argonne Rd
Spokane Valley, WA 99212
Phone (509) 838-4650

1101 N Argonne Rd
Ste 102
Spokane Valley, WA 99212

1121 N Argonne Rd
Ste 123
Spokane Valley, WA 99212
Phone (509) 868-4651

317 N Pines Rd
Spokane Valley, WA 99206

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1417440314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021510",
            "telephone_number": "509-838-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021510",
            "telephone_number": "509-838-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "AARON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60864430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.