Individual provider Active NPI

Elizabeth Loveland Roberts, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1730604984
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007468A Issued in IN
Practice address
5810 E 71St St
Indianapolis, IN 46220-4002
Phone
(317) 845-9653
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71007468A IN Primary

Addresses

Primary practice location

5810 E 71St St
Indianapolis, IN 46220-4002

Mailing address

9102 N 600 W
Fountaintown, IN 46130-9531
Phone (317) 372-7523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171002001050 IN Practitioner - Nurse Practitioner 3779858790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Clinic of in LLCGroup PAC ID 7719118447, 66 clinicians

Practice addresses (Care Compare)

8745 S Emerson Ave
Indianapolis, IN 46237-9400
Phone (317) 807-0409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Clinic of in LLC Family CurrentSince Aug 26, 2017 Accepting new patients
Major Hospital Past Accepting new patients

Locations

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

970 N Morton St
Franklin, IN 46131
Phone (317) 494-4320

5810 E 71st St
Indianapolis, IN 46220
Phone (317) 813-1903

1330 W Southport Rd
Indianapolis, IN 46217
Phone (317) 884-4250

8745 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 807-0409

Interoperability endpoints

  • Direct secure messaging: elizabeth.roberts@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1730604984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 N 600 W",
            "city": "FOUNTAINTOWN",
            "state": "IN",
            "postal_code": "461309531",
            "telephone_number": "317-372-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 E 71ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204002",
            "telephone_number": "317-845-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ELIZABETH",
        "middle_name": "LOVELAND",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007468A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.