Active NPI
Erin Roberts, CPNP-PC
- Pediatric Nurse Practitioner
- Conroe, TX
National Provider Identifier
1699310367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP142387
- Practice address
- 201 Enterprise Row Ste 12
Conroe, TX 77301-4448 - Phone
- (936) 760-2784
- NPI assigned
- Nov 16, 2019
- Last updated
- Nov 16, 2019
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP142387 | TX | Primary |
Addresses
Primary practice location
201 Enterprise Row Ste 12
Conroe, TX 77301-4448
Mailing address
2774 Lake Shadow Dr
Conroe, TX 77385-3206
Phone (817) 733-0041
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP142387 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murray B. Fershtman, M.D. | Past | Accepting new patients |
Interoperability endpoints
- erin.roberts@forestp.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573862400000",
"number": "1699310367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2774 LAKE SHADOW DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773853206",
"telephone_number": "817-733-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ENTERPRISE ROW STE 12",
"city": "CONROE",
"state": "TX",
"postal_code": "773014448",
"telephone_number": "936-760-2784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-16",
"last_updated": "2019-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP142387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.