Individual provider Active NPI

Belinda Roberts, NP

  • Family Nurse Practitioner
  • Lewiston, ID
National Provider Identifier
1457669863
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-1080A Issued in ID
Practice address
415 6TH St Ste 3C
Lewiston, ID 83501-2431
Phone
(208) 746-1333
Fax
(208) 746-4899
NPI assigned
Sep 20, 2010
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201050183NP OR
Family Nurse Practitioner 363LF0000X NP-1080A ID Primary

Addresses

Primary practice location

415 6TH St Ste 3C
Lewiston, ID 83501-2431

Mailing address

625 6TH Ave
Lewiston, ID 83501-2424
Phone (208) 750-7462

Other practice location 1

1250 Idaho St
Lewiston, ID 83501-1965
Phone (208) 743-7427

Other practice location 2

222 Southway Ave Ste C
Lewiston, ID 83501-2703
Phone (208) 746-1333

Other practice location 3

222 Southway Ave Ste 2A
Lewiston, ID 83501-2703
Phone (208) 798-4818

Other names 1

  • Belinda Roberts Heersink Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201050183NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Hospital LLC PastSince Aug 4, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1457669863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012424",
            "telephone_number": "208-750-7462",
            "fax_number": "208-750-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 6TH ST STE 3C",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012431",
            "telephone_number": "208-746-1333",
            "fax_number": "208-746-4899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Idaho St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835011965",
            "country_code": "US",
            "telephone_number": "208-743-7427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Southway Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835012703",
            "country_code": "US",
            "telephone_number": "208-746-1333",
            "fax_number": "208-746-8090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Southway Ave Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835012703",
            "country_code": "US",
            "telephone_number": "208-798-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BELINDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201050183NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1080A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BELINDA",
            "last_name": "HEERSINK",
            "middle_name": "ROBERTS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.