Individual provider Active NPI

Anne Hollingsworth Roberts, APRN

  • Family Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1740759984
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10162617-4405 Issued in UT
Practice address
10011 S Centennial Pkwy Ste 350
Sandy, UT 84070-4137
Phone
(801) 566-5350
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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 10162617-4405 UT Primary

Addresses

Primary practice location

10011 S Centennial Pkwy Ste 350
Sandy, UT 84070-4137

Mailing address

PO Box 782
Park City, UT 84060-0782
Phone (847) 951-4419

Other practice location 1

2070 Bear Hollow Dr
Park City, UT 84098-8500
Phone (847) 951-4419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1740759984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840600782",
            "telephone_number": "847-951-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 S CENTENNIAL PKWY STE 350",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704137",
            "telephone_number": "801-566-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2070 Bear Hollow Dr",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840988500",
            "country_code": "US",
            "telephone_number": "847-951-4419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ANNE",
        "middle_name": "HOLLINGSWORTH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10162617-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.