Individual provider Active NPI

Tabatha Ann Roberts, NP

  • Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1740527555
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71007262A Issued in IN
Practice address
600 Mary St
Evansville, IN 47747-7834
Phone
(812) 450-7338
Fax
(812) 450-2193
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 71007262A IN Primary

Addresses

Primary practice location

600 Mary St
Evansville, IN 47747-7834

Mailing address

PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-7338

Other identifiers 2

IdentifierTypeStateIssuer
201012910AMedicaidKS
016858006OtherKSPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151204001625 KY Practitioner - Nurse Practitioner 0143465096 Reassigns benefits to 2 organizations
I20170724000659 IN Practitioner - Nurse Practitioner 0143465096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303-9774
Phone (270) 417-7500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Mar 25, 2019 Accepting new patients
Deaconess Hospital Inc Nurse Practitioner CurrentSince Jul 7, 2017 Accepting new patients
Owensboro Health Medical Group, Inc Nurse Practitioner CurrentSince Jan 27, 2025 Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince Mar 25, 2019 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner CurrentSince Jul 7, 2017 Accepting new patients
Deaconess Clinic, Inc. Nurse Practitioner CurrentSince Apr 21, 2019 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Jan 27, 2025 Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner Current Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Montgomery Cardiovascular Associates, P.C. Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161

415 W Columbia St
#100
Evansville, IN 47710
Phone (812) 450-6200

1750 Oak Hill Rd
Evansville, IN 47711
Phone (812) 479-1777

4498 N 1st Ave
Evansville, IN 47710
Phone (812) 436-7280

10455 Orthopaedic Dr
Newburgh, IN 47630
Phone (812) 858-2100

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
Phone (270) 417-7500

2710 Heartland Crossing Blvd
Owensboro, KY 42303
Phone (270) 561-0140

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

Organizations & group practices 12

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740527555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-450-7338",
            "fax_number": "812-450-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477477834",
            "telephone_number": "812-450-7338",
            "fax_number": "812-450-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TABATHA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007262A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201012910A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "016858006",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.