Teresa Roseberry, CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

A004912 Issued in AR

Practice address

4501 Glenmere Rd
North Little Rock, AR 72116-7405

Phone

(501) 269-0972

NPI assigned

Oct 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Medical Clinic Arkansas LTC LLCGroup PAC ID 0547618175, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teresa.roseberry.1@29938.direct.athenahealth.com

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.

• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Weiner, AR
  • NPI 1114578929
  Medicare reassignment Care Compare group NPD
• Healogics Specialty Physicians of Arkansas, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fayetteville, AR
  • NPI 1538561436
  Medicare reassignment NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647
  Medicare reassignment
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1508563362
  NPD
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Marshall, AR
  • NPI 1609391911
  NPD
• Access Medical Clinic Arkansas LTC LLC

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1841154846
  NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Prairie Grove, AR
  • NPI 1770203184
  NPD (past)

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1740730290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 PHILLIPS ROAD 253 LOOP",
            "city": "LEXA",
            "state": "AR",
            "postal_code": "723558366",
            "telephone_number": "501-269-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 GLENMERE RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167405",
            "telephone_number": "501-269-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBERRY",
        "first_name": "TERESA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-08",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A004912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald F Boyles OD PA
• Ronald F. Boyles O.D., P.a.
• Derek David Rooker, DNP, APRN, FNP-BC
• Craig Paul Rookey, PH.D.
• Tanja Rose
• Johnnie Ross Jr., L.C.S.W.
• Julie Alford Routon, DDS
• Robert Rowzee, MHPP
• Kimberlee Roxburgh
• Cathryn Royal

• Primary Care Nurse Practitioner in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Primary Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.

Verify at the official NPI Registry.