Misty Ann Roberts

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

201088 Issued in TX

Practice address

103 E Edgebrook Dr Apt 4004
Houston, TX 77034-1476

Phone

(832) 276-7076

NPI assigned

Oct 3, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1508341728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E EDGEBROOK DR APT 4004",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770341476",
            "telephone_number": "832-276-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E EDGEBROOK DR APT 4004",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770341476",
            "telephone_number": "832-276-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MISTY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "201088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Roberts, MD
• Mary Lee Roberts, L.P.C.
• Matthew Roberts
• Matthew Blaine Roberts, LCSW
• Michael Roberts, D.C.
• Misty Goff Roberts, DMD
• Molly Dart Roberts, M.A., CCC-SLP
• Monika Roberts
• Natasha Roberts, N.P.
• Paige Roberts, RD

• Licensed Practical Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.