Active NPI
Roberta Ann Hoover, CRNP
- Family Nurse Practitioner
- Monroeville, PA
National Provider Identifier
1679785232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- UP005228B
- Practice address
- 4075 Monroeville Blvd
Corp. 1 Office Park Suite 315
Monroeville, PA 15146-2525 - Phone
- (412) 641-6722
- Fax
- (412) 641-6762
- NPI assigned
- May 4, 2007
- 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 | UP005228B | PA | Primary |
Addresses
Primary practice location
4075 Monroeville Blvd
Corp. 1 Office Park Suite 315
Monroeville, PA 15146-2525
Mailing address
1112 Franklin St
McKeesport, PA 15131-1428
Phone (412) 641-6722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UP005228B | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679785232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 FRANKLIN ST",
"city": "MCKEESPORT",
"state": "PA",
"postal_code": "151311428",
"telephone_number": "412-641-6722",
"fax_number": "412-641-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 MONROEVILLE BLVD",
"address_2": "CORP. 1 OFFICE PARK SUITE 315",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462525",
"telephone_number": "412-641-6722",
"fax_number": "412-641-6762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "ROBERTA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "UP005228B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.