Individual provider Active NPI

Erin Lee Roberts, LPN

  • Licensed Practical Nurse
  • Wadsworth, OH
National Provider Identifier
1700458619
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
174263 Issued in OH
Practice address
266 Parkview Ave
Wadsworth, OH 44281-1112
Phone
(330) 603-5960
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 174263 OH Primary

Addresses

Primary practice location

266 Parkview Ave
Wadsworth, OH 44281-1112

Mailing address

266 Parkview Ave
Wadsworth, OH 44281-1112
Phone (330) 603-5960

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eroberts@newdestinytreatmentcenter.com Direct New Destiny Treatment Center, Inc.

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

LicenseStateTypeSpecialty
174263OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1700458619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 PARKVIEW AVE",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811112",
            "telephone_number": "330-603-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 PARKVIEW AVE",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811112",
            "telephone_number": "330-603-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ERIN",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "174263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eroberts@newdestinytreatmentcenter.com",
            "affiliation": "Y",
            "endpointDescription": "Business e-mail",
            "affiliationName": "New Destiny Treatment Center, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6694 Taylor Rd",
            "city": "Clinton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442169201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.