Carol Ann Roberts, RN,CS

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

105616 Issued in MA

Practice address

12 Saint Louis Ave
Gloucester, MA 01930-4420

Phone

(978) 290-6785

Fax

(978) 231-0216

NPI assigned

Jan 31, 2006

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 MA

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Columbia University College of Physicians and Surgeons, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1619948239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SAINT LOUIS AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019304420",
            "telephone_number": "978-290-6785",
            "fax_number": "978-231-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SAINT LOUIS AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019304420",
            "telephone_number": "978-290-6785",
            "fax_number": "978-231-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "RN,CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "105616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Alexandra Barrett Rhodes
• Brenda E Richardson, M.D.
• Nicole Richon-Schoel, M.ED, LMHC
• Erika Rivera, DDS
• Joana Bosquet Robergeau, PHARM-D
• Kathy Roberts
• Laetitia Rodde
• Cassandra Romeo
• Sandra Dahl Ronan, LICSW
• Diana Rosenbaum Fullerton, LMHC

• Adult Psychiatric/Mental Health Registered Nurse in Gloucester, MA
• Providers in Gloucester, MA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.

Verify at the official NPI Registry.