Krystina Roberts, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

202630986 Issued in MO

Practice address

408 Briarcommons Dr
Lake St Louis, MO 63367-6414

Phone

(314) 954-1808

NPI assigned

Mar 25, 2026

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1639018997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 BRIARCOMMONS DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633676414",
            "telephone_number": "314-954-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BRIARCOMMONS DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633676414",
            "telephone_number": "314-954-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KRYSTINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "202630986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra A Redhage, RN-C, MSN, WHNP
• Karen Reeves
• Lisa Murray Reid, RD
• Bridget Elise Rennard, MHS, CCC-SLP
• Brianne Nicole Rigg, RD, LD
• Joseph Franklin Rodemann, MD
• Tara Rognan, D.O.
• Macie Roorda, M.ED., LPC
• Scott K Roos, MD
• Shayla S Rose, M.D.

• Pediatric Nurse Practitioner in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.