Active NPI
Terry Anne Roberts, MSN, FNP, BC
- Family Nurse Practitioner
- Barboursville, WV
National Provider Identifier
1710267067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21768
- Practice address
- 6350 US Route 60 E
Barboursville, WV 25504-1232 - Phone
- (304) 399-3350
- Fax
- (304) 955-5047
- NPI assigned
- Aug 18, 2011
- 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 | 21768 | WV | Primary |
Addresses
Primary practice location
6350 US Route 60 E
Barboursville, WV 25504-1232
Mailing address
PO Box 1680
Huntington, WV 25717-1680
Phone (304) 525-3334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810024274 | Medicaid | WV |
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21768 | WV | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1710267067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1680",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257171680",
"telephone_number": "304-525-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 US ROUTE 60 E",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255041232",
"telephone_number": "304-399-3350",
"fax_number": "304-955-5047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "TERRY",
"middle_name": "ANNE",
"credential": "MSN, FNP, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "21768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810024274",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barboursville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.