Individual provider Active NPI

Laura Roberts, APRN

  • Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1740481720
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN7970 Issued in TN
Practice address
927 N James M Campbell Blvd Ste 105
Columbia, TN 38401-2755
Phone
(931) 388-5114
Fax
(931) 388-5631
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN7970 TN Primary

Addresses

Primary practice location

927 N James M Campbell Blvd Ste 105
Columbia, TN 38401-2755

Mailing address

927 N James M Campbell Blvd Ste 105
Columbia, TN 38401-2755
Phone (931) 388-5114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20151202001219 TN Practitioner - Nurse Practitioner 4486881703 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN7970TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Oct 8, 2020 Accepting new patients
Advanced Diagnostic Imaging, PC Nurse Practitioner CurrentSince Oct 8, 2020 Accepting new patients

Locations

927 N James M Campbell Blvd
Ste 105
Columbia, TN 38401
Phone (931) 388-5114

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1740481720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 N JAMES M CAMPBELL BLVD STE 105",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012755",
            "telephone_number": "931-388-5114",
            "fax_number": "931-388-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 N JAMES M CAMPBELL BLVD STE 105",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012755",
            "telephone_number": "931-388-5114",
            "fax_number": "931-388-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LAURA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN7970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.