Active NPI
Alicia Nebblett-Roberts, FNP-BC
- Family Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1689119737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 345080
- Practice address
- 200 Willoughby Ave Ste 117
Brooklyn, NY 11205-3802 - Phone
- (917) 689-9608
- NPI assigned
- Dec 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 345080 | NY | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F405900-1 | NY |
Addresses
Primary practice location
200 Willoughby Ave Ste 117
Brooklyn, NY 11205-3802
Mailing address
60 E 17TH St Apt 6N
Brooklyn, NY 11226-2634
Other practice location 1
3906 Clarendon Rd
Brooklyn, NY 11203-5133
Phone (917) 689-9608
Other practice location 2
234 E 149th St
Bronx, NY 10451-5589
Phone (718) 579-5225
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F405900-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alicia Nebblett-Roberts, NP in Family Health Practice, PLLC | Multi-Specialty | Current | Accepting new patients |
Interoperability endpoints
- anebblettsroberts1131157@nychhc.direct-ci.com
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
- NPI 1457228132
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760832000000",
"number": "1689119737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 E 17TH ST APT 6N",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112262634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WILLOUGHBY AVE STE 117",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112053802",
"telephone_number": "917-689-9608"
}
],
"practiceLocations": [
{
"address_1": "3906 Clarendon Rd",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112035133",
"country_code": "US",
"telephone_number": "917-689-9608",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "234 E 149th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104515589",
"country_code": "US",
"telephone_number": "718-579-5225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEBBLETT-ROBERTS",
"first_name": "ALICIA",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-28",
"last_updated": "2025-10-19",
"certification_date": "2025-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "345080",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F405900-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.