Active NPI
Nancy L Roberson, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, NC
National Provider Identifier
1619046331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 40458
- Practice address
- 2485 Hemby LN
Suite a
Greenville, NC 27834-3701 - Phone
- (252) 752-2140
- Fax
- (888) 787-2249
- NPI assigned
- Nov 7, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 40458 | NC | Primary |
| Registered Nurse | 163W00000X | 86815 | NC |
Addresses
Primary practice location
2485 Hemby LN
Suite a
Greenville, NC 27834-3701
Mailing address
2485 Hemby LN
Suite a
Greenville, NC 27834-3701
Phone (252) 752-2140
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00601429 | Other | NC | RAILROAD MEDICARE |
| 1619046331 | Other | NC | TRICARE |
| 8050490 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40458 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pitt County Anesthesia Associates, PA | Registered Nurse | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1740340959
Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1619046331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 HEMBY LN",
"address_2": "SUITE A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343701",
"telephone_number": "252-752-2140",
"fax_number": "888-787-2249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 HEMBY LN",
"address_2": "SUITE A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343701",
"telephone_number": "252-752-2140",
"fax_number": "888-787-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "NANCY",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "40458",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "86815",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00601429",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1619046331",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8050490",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
- Dawn Briley Roberson, PTA
- Donna White Roberson, PHD, APRN, BC
- Lindsay Allene Roberson, MSN, AGNP-C
- Lindsey Packard Roberson, MSN, APRN, FNP-BC
- Mary Spencer Roberson
- Robert Davis DDS PLLC
- Roberts Kamp & Associates PLLC
- Bracken Franklin Roberts, DO, PHD
- Erin Elizabeth Ness Roberts, PHD, LMFT, MSSW
- Grayson Winn Roberts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.