Kelli Roberson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-29232 Issued in AL

Practice address

342 Cox Blvd
Sheffield, AL 35660

Phone

(256) 383-4473

Fax

(256) 320-7280

NPI assigned

Apr 16, 2015

Last updated

Jul 30, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Haleyville Medical Associates Inc

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1104922368
  Medicare reassignment NPD
• Shoals Primary Care, LLC

  • Family Medicine Physician
  • Sheffield, AL
  • NPI 1326373861
  Medicare reassignment NPD
• Express Med of Tennessee, LLC

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1679534879
  NPD (past)

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1619364791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356622587",
            "telephone_number": "256-383-4473",
            "fax_number": "256-320-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 COX BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "35660",
            "telephone_number": "256-383-4473",
            "fax_number": "256-320-7280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 Cox Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356331631",
            "country_code": "US",
            "telephone_number": "256-760-1655",
            "fax_number": "256-760-1699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "KELLI",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-29232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RH Emergency Medicine of Helen Keller Hospital, LLC
• Rheumatology Associates of North Alabama PC
• Kristy L Richards, PA
• Samuel Wesley Richardson, MAED, ATC, LAT
• Albert Lynn Ridgeway, MD
• Daniel Russell Robinson, M.D.
• Bryan Keith Rushing, D.M.D.
• Schofield Homecare Services, Inc.
• Jonathan Scogin, CRNP
• Tabitha Michelle Seaman

• Family Nurse Practitioner in Sheffield, AL
• Providers in Sheffield, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.