Linda Shodd Roberts, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

R0059260 Issued in OK

Practice address

1500 E Downing St
Suite 208
Tahlequah, OK 74464-3234

Phone

(918) 446-2496

Fax

(918) 456-7108

NPI assigned

Apr 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1548480890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PENDLETON ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642219",
            "telephone_number": "918-457-7515",
            "fax_number": "918-456-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E DOWNING ST",
            "address_2": "SUITE 208",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643234",
            "telephone_number": "918-446-2496",
            "fax_number": "918-456-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LINDA",
        "middle_name": "SHODD",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OK",
            "license": "R0059260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK NURSING LICENSE",
            "identifier": "R00559260",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200308880A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Renee Roady, M.S., CCC-SLP
• Kylie Roberson
• Robert P Mitchell, DC, PC (mitchell family chiropracitc)
• Robert P. Webb, III, D.D.S., Inc.
• Brent Roberts, OD
• Paige N. Roberts, OTR/L
• Rylee Ray Roberts
• Susan Hope Roberts, LPC
• Teresa Jean Roberts, M.ED.
• Johnathon Heath Robertson I

• Advanced Practice Midwife in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Advanced Practice Midwife in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.