Individual provider Active NPI

Serena Dawn Roberts, FNP-C

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1508366402
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10959 Issued in AZ
Practice address
2735 S Alma School Rd Ste 121
Chandler, AZ 85286-4404
Phone
(602) 693-3476
Fax
(480) 508-7624
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10959 AZ Primary

Addresses

Primary practice location

2735 S Alma School Rd Ste 121
Chandler, AZ 85286-4404

Mailing address

40444 W Jenna LN
Maricopa, AZ 85138-6322
Phone (602) 693-3476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180615000804 AZ Practitioner - Nurse Practitioner 6800141821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1508366402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40444 W JENNA LN",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851386322",
            "telephone_number": "602-693-3476",
            "fax_number": "480-508-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 S ALMA SCHOOL RD STE 121",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864404",
            "telephone_number": "602-693-3476",
            "fax_number": "480-508-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SERENA",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.