Active NPI
Jessica Nicole Roberts, APRN
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 30276
- Practice address
- 6215 Humphreys Blvd Ste 301
Memphis, TN 38120-2382 - Phone
- (901) 227-9870
- Fax
- (901) 227-9879
- NPI assigned
- Sep 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 30276 | TN | Primary |
Addresses
Primary practice location
6215 Humphreys Blvd Ste 301
Memphis, TN 38120-2382
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Other practice location 1
6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (901) 227-2727
Other practice location 2
8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606
Other practice location 3
6215 Humphreys Blvd Ste 301
Memphis, TN 38120-2382
Phone (901) 227-9870
Other practice location 4
2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-1350
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30276 | TN | MD | Family Nurse Practitioner |
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1619647153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6215 HUMPHREYS BLVD STE 301",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202382",
"telephone_number": "901-227-9870",
"fax_number": "901-227-9879"
}
],
"practiceLocations": [
{
"address_1": "6225 Humphreys Blvd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381202373",
"country_code": "US",
"telephone_number": "901-227-2727",
"fax_number": "901-227-2477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8138 Country Village Dr",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380162029",
"country_code": "US",
"telephone_number": "901-725-8606",
"fax_number": "901-759-9254",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6215 Humphreys Blvd Ste 301",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381202382",
"country_code": "US",
"telephone_number": "901-227-9870",
"fax_number": "901-226-1042",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 Exeter Rd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381383966",
"country_code": "US",
"telephone_number": "901-757-1350",
"fax_number": "901-757-3496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "30276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.