Active NPI
Tabatha Ann Roberts, NP
- Nurse Practitioner
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71007262A
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201012910A | Medicaid | KS | |
| 016858006 | Other | KS | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Hospital Inc | Nurse Practitioner | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Clinic, Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Clinic, Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Clinic Inc. | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Hospital, Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Clinic, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | 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.
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
Nurse Practitioner
-
dba Deaconess Clinic I
- Family Medicine Physician
- Morganfield, KY
- NPI 1891941688
Nurse Practitioner
-
dba Deaconess Clinic I
- Family Medicine Physician
- Evansville, IN
- NPI 1013274471
Nurse Practitioner
-
dba Deaconess Primary Care for Seniors - North
- Geriatric Medicine (Internal Medicine) Physician
- Evansville, IN
- NPI 1750399259
Nurse Practitioner
-
dba Deaconess Clinic I
- Family Medicine Physician
- Henderson, KY
- NPI 1508261041
Nurse Practitioner
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
dba Owensboro Health Medical Group - EKG Professional Services
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Nurse Practitioner
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1336179316
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Owensboro Health Muhlenberg Community Hospital
- General Acute Care Hospital
- Greenville, KY
- NPI 1407800436
-
dba Owensboro Health Muhlenberg Community Hospital Coal Miners' Respirator
- Pulmonary Disease Physician
- Greenville, KY
- NPI 1992001044
Hospital
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
dba Owensboro Health Twin Lakes Medical Center
- General Acute Care Hospital
- Leitchfield, KY
- NPI 1285221416
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.