Active NPI
Roberta S. Johnson-Seay, ARNP-C
- Nurse Practitioner
- Fort Defiance, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5023519
- Practice address
- Corner of Route N12 and N7
Fort Defiance, AZ 86504 - Phone
- (928) 729-8000
- NPI assigned
- Aug 1, 2006
- Last updated
- Nov 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9186976 | FL | |
| Nurse Practitioner | 363L00000X | 5023519 | NC | Primary |
Addresses
Primary practice location
Corner of Route N12 and N7
Fort Defiance, AZ 86504
Mailing address
PO Box 649
Fort Defiance, AZ 86504-0649
Other practice location 1
178 Highway 105 Ext Ste 101
Boone, NC 28607-5667
Phone (828) 265-7146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000670600 | Medicaid | FL | |
| E8923Q | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
178 Hwy 105 Ext
Suite 101
Boone, NC 28607-5667
Phone (828) 265-7146
Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082
PO Box
Suite 649
Fort Defiance, AZ 86504-0649
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9186976 | FL | MD | Nurse Practitioner |
| 5023519 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fort Defiance Indian Hospital Board, Incorporation | Current | Accepting new patients | |
| The Fort Defiance Indian Hospital Board, Incorporation | Current | Accepting new patients | |
| Fastmed P.C. | Current | Accepting new patients | |
| House Calls of Central Florida LLC | Nurse Practitioner | Past | Accepting new patients |
| Chandra, Gayden, Patel and Associates | Past | Accepting new patients | |
| Fastmed Primary Care, P.C. | Past | Accepting new patients |
Locations
178 Highway 105 Ext
Ste 101
Boone, NC 28607
Phone (828) 265-7146
7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900
2280 US Highway 70 SE
Hickory, NC 28602
Phone (828) 267-1201
Organizations & group practices 6
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.
-
dba Fort Defiance Indian Hospital
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1477876639
TX
-
- Family Medicine Physician
- Durham, NC
- NPI 1629841788
-
dba Fort Defiance Indian Hospital
- Ambulatory Surgical Clinic/Center
- Fort Defiance, AZ
- NPI 1487977914
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1639238793
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1912774423
-
dba House Calls of Central Florida
- Nurse Practitioner
- Merritt Island, FL
- NPI 1518992908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1528075066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF ROUTE N12 AND N7",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "928-729-8000"
}
],
"practiceLocations": [
{
"address_1": "178 Highway 105 Ext Ste 101",
"address_purpose": "LOCATION",
"city": "Boone",
"state": "NC",
"postal_code": "286075667",
"country_code": "US",
"telephone_number": "828-265-7146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON-SEAY",
"first_name": "ROBERTA",
"middle_name": "S.",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9186976",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5023519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000670600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "E8923Q",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.