Individual provider Active NPI

Erin Roberts, CRNP

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1487978854
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-054500 Issued in AL
Practice address
6701 Airport Blvd
Suite D-330
Mobile, AL 36608-6705
Phone
(251) 607-9797
Fax
(251) 639-0940
NPI assigned
Mar 15, 2010
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-054500 AL Primary
Acute Care Nurse Practitioner 363LA2100X 1-054500 AL

Addresses

Primary practice location

6701 Airport Blvd
Suite D-330
Mobile, AL 36608-6705

Mailing address

6701 Airport Blvd
Suite D-330
Mobile, AL 36608-6705
Phone (251) 607-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100908000758 AL Practitioner - Nurse Practitioner 4880719285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

188 Hospital Dr
Suite 100
Fairhope, AL 36532-2038
Phone (251) 990-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-054500ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Mobile Inc CurrentSince Apr 21, 2010 Accepting new patients
Cardiology Associates of Mobile Inc CurrentSince Apr 21, 2010 Accepting new patients

Locations

188 Hospital Dr
Ste 100
Fairhope, AL 36532
Phone (251) 607-9797

1721 N McKenzie St
Foley, AL 36535
Phone (251) 607-9797

6701 Airport Blvd
Ste D330
Mobile, AL 36608
Phone (251) 607-9797

Interoperability endpoints

  • Direct secure messaging: erinroberts@cam.allscriptsdirect.net
  • FHIR API: https://fhir.cardassoc.com/R4/open-R4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1487978854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "SUITE D-330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-607-9797",
            "fax_number": "251-639-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "SUITE D-330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-607-9797",
            "fax_number": "251-639-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-054500",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-054500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.