Active NPI
Barbara Lee Roberge, NP
- Pediatric Nurse Practitioner
- Duarte, CA
National Provider Identifier
1437695384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP 3518
- Practice address
- 1212 Kellwill Way
Duarte, CA 91010-3322 - Phone
- (626) 599-5222
- Fax
- (626) 599-5274
- NPI assigned
- Jan 17, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NP 3518 | CA | Primary |
Addresses
Primary practice location
1212 Kellwill Way
Duarte, CA 91010-3322
Mailing address
2345 Vista Valle Verde Dr
Fallbrook, CA 92028-8366
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 3518 | CA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496707200000",
"number": "1437695384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 VISTA VALLE VERDE DR",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920288366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 KELLWILL WAY",
"city": "DUARTE",
"state": "CA",
"postal_code": "910103322",
"telephone_number": "626-599-5222",
"fax_number": "626-599-5274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERGE",
"first_name": "BARBARA",
"middle_name": "LEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-17",
"last_updated": "2017-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "NP 3518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.