Denise Adriane Roberts, DNP,MSN-ED,RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

462608 Issued in CA

Practice address

1384 Roadrunner Dr
Corona, CA 92881-0709

Phone

(951) 536-3316

NPI assigned

Sep 21, 2023

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

Other names 1

• Denise Adriane Drake Former name

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1841079639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 ROADRUNNER DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928810709",
            "telephone_number": "951-536-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 ROADRUNNER DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928810709",
            "telephone_number": "951-536-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DENISE",
        "middle_name": "ADRIANE",
        "credential": "DNP,MSN-ED,RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "462608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "DRAKE",
            "middle_name": "ADRIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Ladonna Lisa Robinson, BSW
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• Tanisha Robinson, DSW, LMFT

• General Practice Registered Nurse in Corona, CA
• Providers in Corona, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.