Amy Roberson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

224034 Issued in SC

Practice address

110 Eastside Dr
Lexington, SC 29072-3471

Phone

(803) 319-3340

NPI assigned

Oct 2, 2014

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1780087809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EASTSIDE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EASTSIDE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723471",
            "telephone_number": "803-319-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "AMY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "224034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Rivers
• Emily Rivers, LMSW, CACP
• Zehra Rizvi, MS, LPC-I
• Margaret Roarty, OT
• Andrea Robbins
• Robert Beesburg, LLC
• Albert Keith Roberts Jr., DMD
• Katherine Kristian Roberts, LISW-CP
• Shannel Roberts, RBT
• Evan Harold Robinette, DPT

• All providers in Lexington, SC
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.