Individual provider Active NPI

Johnny Don Roberts, FNP

  • Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1508304668
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP133229 Issued in TX
Practice address
5805 Hinman Dr
Corpus Christi, TX 78412-2841
Phone
(806) 786-4214
NPI assigned
Feb 8, 2017
Last updated
Feb 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP133229 TX Primary

Addresses

Primary practice location

5805 Hinman Dr
Corpus Christi, TX 78412-2841

Mailing address

5805 Hinman Dr
Corpus Christi, TX 78412-2841
Phone (806) 786-4214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200820003086 TX Practitioner - Nurse Practitioner 0547686511 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muleshoe Area Hospital DistrictGroup PAC ID 8820906167, shared by 5 NPIs, 11 clinicians

Practice addresses (Care Compare)

708 S 1St St
Muleshoe, TX 79347-3627
Phone (806) 272-4524

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Muleshoe Area Hospital District CurrentSince Jun 13, 2024 Accepting new patients
Muleshoe Area Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Muleshoe Area Hospital District CurrentSince Jun 13, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince May 1, 2021 Accepting new patients
C,L and W PLLC CurrentSince Jul 20, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince May 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince May 1, 2021 Accepting new patients

Locations

4009 Ridgemont Dr
Abilene, TX 79606
Phone (325) 232-8830

710 S Gregg St
Fl First
Big Spring, TX 79720
Phone (432) 517-4692

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

708 S 1st St
Muleshoe, TX 79347
Phone (806) 272-4524

Organizations & group practices 7

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 1

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": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1508304668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 HINMAN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122841",
            "telephone_number": "806-786-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 HINMAN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122841",
            "telephone_number": "806-786-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JOHNNY",
        "middle_name": "DON",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.