Individual provider Active NPI

Hannah E Roberts

  • Adult Health Nurse Practitioner
  • Kirbyville, TX
National Provider Identifier
1760333553
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1226942 Issued in TX
Practice address
1905 N Margaret Ave
Kirbyville, TX 75956-1652
Phone
(409) 420-0816
Fax
(409) 420-0821
NPI assigned
Feb 6, 2026
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1226942 TX Primary

Addresses

Primary practice location

1905 N Margaret Ave
Kirbyville, TX 75956-1652

Mailing address

1905 N Margaret Ave
Kirbyville, TX 75956-1652
Phone (409) 420-0816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260216003399 TX Practitioner - Nurse Practitioner 1951881242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1273 S Peachtree St
Jasper, TX 75951-4915
Phone (409) 384-9200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1226942TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Family Healthcare, PLLC CurrentSince Feb 9, 2026 Accepting new patients

Locations

1273 S Peachtree St
Jasper, TX 75951
Phone (409) 384-9200

1905 N Margaret Ave
Kirbyville, TX 75956
Phone (409) 420-0816

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1760333553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 N MARGARET AVE",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759561652",
            "telephone_number": "409-420-0816",
            "fax_number": "409-420-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 N MARGARET AVE",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759561652",
            "telephone_number": "409-420-0816",
            "fax_number": "409-420-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HANNAH",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1226942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirbyville, TX

Sources for this page

Verify at the official NPI Registry.