Becky Sue Roberts, FNP
Individual provider Active NPI Family Nurse Practitioner · Panguitch, UT
NPI 1689779449 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1689779449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2063764405 (UT)
- Practice address
- 200 N 400 E
Panguitch, UT 84759-0382 - Phone
- (435) 676-8842
- Fax
- (435) 676-2679
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2063764405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield County | Past | Accepting new patients | |
| Garfield County | Past | Accepting new patients | |
| Garfield County | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2063764405 | UT | |
| Family Nurse Practitioner | 363LF0000X | 2063764405 | UT | Yes |
Addresses
Primary practice location
200 N 400 E
Panguitch, UT 84759-0382
Mailing address
PO Box 389
200 N 400 E
Panguitch, UT 84759-0389
Phone (435) 676-8842
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4447 | Other | UT | ID# |
Other providers in Panguitch, UT
- Prevent Inc.
- Carole A Ray
- Shaunna Michele Rechsteiner
- Alec Reynolds
- Robert L Smith DC PC
- Raigan Rogerson
- Samuel I Marshall, P,C.
- Shane R Jensen
- Timothy B Smith
- Southwest Vision, LLC
All providers in Panguitch, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.