Active NPI
Susan O Roberts, FNP
- Family Nurse Practitioner
- Farragut, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN21691
- Practice address
- 189 Brooklawn St
Farragut, TN 37934-2875 - Phone
- (865) 392-9136
- NPI assigned
- Aug 25, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0000021691 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN21691 | TN | Primary |
Addresses
Primary practice location
189 Brooklawn St
Farragut, TN 37934-2875
Mailing address
PO Box 932958
Cleveland, OH 44193-2454
Other practice location 1
2001 Laurel Ave
Suite 101
Knoxville, TN 37916-1810
Phone (865) 549-4444
Other practice location 2
1932 Alcoa Hwy Ste 270
Knoxville, TN 37920-1537
Phone (865) 251-4658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q024785 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
189 Brooklawn St
Farragut, TN 37934-2875
Phone (865) 392-9136
1930 Alcoa Hwy
Knoxville, TN 37920-1510
1930 Alcoa Hwy 235
Knoxville, TN 37920-1510
Phone (865) 305-4670
Hospital & facility affiliations
- University Health System, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.72 of 100
- Quality
- 91.46
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000021691 | TN | MD | Family Nurse Practitioner |
| APN21691 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Associates, PC | Current | Accepting new patients | |
| The Little Clinic of Tennessee LLC | Family | Current | Accepting new patients |
| University Health System Inc | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| Knoxville Neurology Specialists, PLLC | Past | Accepting new patients |
Locations
1930 Alcoa Hwy
Ste 235
Knoxville, TN 37920
Phone (865) 305-4670
1311 Dowell Springs Blvd
Ste 300
Knoxville, TN 37909
Phone (865) 558-0606
1934 Alcoa Hwy
Ste 370
Knoxville, TN 37920
Phone (865) 305-5335
1932 Alcoa Hwy
Ste 270
Knoxville, TN 37920
Phone (865) 251-4658
189 Brooklawn St
Knoxville, TN 37934
Phone (865) 392-9136
2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140
Interoperability endpoints
- susan.roberts@krogerhealth.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- White House, TN
- NPI 1487848800
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- Gastroenterology Physician
- Knoxville, TN
- NPI 1780695999
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
- Surgery Physician
- Knoxville, TN
- NPI 1295098614
-
- Neurology Physician
- Knoxville, TN
- NPI 1720003338
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1619422136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932958",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441932454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 BROOKLAWN ST",
"city": "FARRAGUT",
"state": "TN",
"postal_code": "379342875",
"telephone_number": "865-392-9136"
}
],
"practiceLocations": [
{
"address_1": "2001 Laurel Ave",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379161810",
"country_code": "US",
"telephone_number": "865-549-4444",
"fax_number": "865-549-4449",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1932 Alcoa Hwy Ste 270",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379201537",
"country_code": "US",
"telephone_number": "865-251-4658",
"fax_number": "865-251-4659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "SUSAN",
"middle_name": "O",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-25",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "0000021691",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN21691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q024785",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farragut, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.