Roberta M Thomas, ARNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

034524-23-03 Issued in NH

Practice address

17 Main St
Valley Regional Primary Care Physicians
Newport, NH 03773-1504

Phone

(603) 863-6400

Fax

(603) 863-7800

NPI assigned

Sep 6, 2006

Last updated

May 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Miss Roberta Jane McTague Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1447353347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 ELM ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037434921",
            "telephone_number": "603-863-6400",
            "fax_number": "603-863-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAIN ST",
            "address_2": "VALLEY REGIONAL PRIMARY CARE PHYSICIANS",
            "city": "NEWPORT",
            "state": "NH",
            "postal_code": "037731504",
            "telephone_number": "603-863-6400",
            "fax_number": "603-863-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROBERTA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "034524-23-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30343041",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006587",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "2309388YPNH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "MCTAGUE",
            "middle_name": "JANE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• The Orion Group
• Christina Thurston, LMHC
• Town of Newport (dba Newport Ambulance Service)
• Universal Physical Therapy, LLC
• Valley Radiologists, P.a.
• Valley Regional Healthcare, Inc. (Connecticut Valley Home Care)

• Family Medicine Physician in Newport, NH
• Providers in Newport, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.