Reesa Roberts, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

006620 Issued in NY

Practice address

1090 Vermont Ave NW
Suite 1000
Washington, DC 20005-4905

Phone

(212) 965-6950

Fax

(212) 965-7030

NPI assigned

Mar 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• N/a N/a Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1851561419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 LIVE OAK LN",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814502",
            "telephone_number": "212-965-6950",
            "fax_number": "212-965-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 VERMONT AVE NW",
            "address_2": "SUITE 1000",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054905",
            "telephone_number": "212-965-6950",
            "fax_number": "212-965-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "REESA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Scott Roberts, MD
• Minyon Roberts
• Nicole Paulette Roberts
• Rashawn Roberts
• Rebecca Peyton Roberts, BCBA, LBA
• Renee Roberts, MD
• Rhonda Roberts
• Sandra Antonia Roberts
• Sarah Elizabeth Roberts, RD
• Sean Roberts

• Physician Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Physician Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.