Active NPI
Roberta S Hunter, M.D.
- Family Medicine Physician
- Port St Lucie, FL
National Provider Identifier
1801899125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME55009
- Practice address
- 1430 SW Saint Lucie West Blvd
Ste 101
Port St Lucie, FL 34986-2134 - Phone
- (772) 877-3591
- Fax
- (561) 623-0613
- NPI assigned
- May 31, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME55009 | FL | Primary |
Addresses
Primary practice location
1430 SW Saint Lucie West Blvd
Ste 101
Port St Lucie, FL 34986-2134
Mailing address
1430 SW Saint Lucie West Blvd
Ste 101
Port St Lucie, FL 34986-2134
Phone (772) 877-3591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10198 SW Village Pkwy
Suite 105
Port St Lucie, FL 34987-2592
Phone (772) 934-4990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tradition Health and Wellness Clinic PLLC | Family Medicine | Current | Accepting new patients |
Locations
10198 SW Village Pkwy
Ste 105
Port St Lucie, FL 34987
Phone (772) 934-4990
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1720840168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1801899125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 SW SAINT LUCIE WEST BLVD",
"address_2": "STE 101",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862134",
"telephone_number": "772-877-3591",
"fax_number": "561-623-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 SW SAINT LUCIE WEST BLVD",
"address_2": "STE 101",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862134",
"telephone_number": "772-877-3591",
"fax_number": "561-623-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "ROBERTA",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME55009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.