Individual provider Active NPI

Patricia Roberts, BSN, RN

  • Community Health Registered Nurse
  • Huntsville, AL
National Provider Identifier
1831939057
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
1-119146 Issued in AL
Practice address
600 Boulevard South SW Ste 104
Huntsville, AL 35802-2175
Phone
(256) 417-2607
NPI assigned
May 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 1-119146 AL Primary

Addresses

Primary practice location

600 Boulevard South SW Ste 104
Huntsville, AL 35802-2175

Mailing address

600 Boulevard South SW Ste 104
Huntsville, AL 35802-2175
Phone (256) 417-2607

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-119146ALMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emma'S Hydration Therapy LLC Current Accepting new patients

Locations

600 Boulevard South SW
Ste 104
Huntsville, AL 35802
Phone (800) 618-6990

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.

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1831939057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BOULEVARD SOUTH SW STE 104",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022175",
            "telephone_number": "256-417-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BOULEVARD SOUTH SW STE 104",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022175",
            "telephone_number": "256-417-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "PATRICIA",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AL",
            "license": "1-119146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.