Individual provider Active NPI

Cecilia Vanderlick Roberson, FNP, PMHNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1508293457
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07419 Issued in LA
Practice address
100 Asma Blvd
Lafayette, LA 70508-3858
Phone
(337) 504-2332
Fax
(337) 504-4748
NPI assigned
Oct 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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 AP07419 LA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP07419 LA

Addresses

Primary practice location

100 Asma Blvd
Lafayette, LA 70508-3858

Mailing address

1388 Lake Dr
Woodworth, LA 71485-7914

Other practice location 1

211 4th St
Alexandria, LA 71301-8421
Phone (318) 769-3000

Other names 1

  • Cecilia Roberson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20141006001497 LA Practitioner - Nurse Practitioner 2163642695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Cameron Hospital Medicine Group LLCGroup PAC ID 1557688421, 66 clinicians

Practice addresses (Care Compare)

211 4TH St
Alexandria, LA 71301-8421
Phone (484) 965-9566

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07419LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Hospital Medicine Group LLC CurrentSince Feb 7, 2025 Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

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.

Hospital & facility affiliations 3

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": "1381190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1508293457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 LAKE DR",
            "city": "WOODWORTH",
            "state": "LA",
            "postal_code": "714857914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ASMA BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083858",
            "telephone_number": "337-504-2332",
            "fax_number": "337-504-4748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 4th St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713018421",
            "country_code": "US",
            "telephone_number": "318-769-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERLICK ROBERSON",
        "first_name": "CECILIA",
        "name_prefix": "Mrs.",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-08",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07419",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILIA",
            "last_name": "ROBERSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.