Kourtne Roberts, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R0312 Issued in TX

Practice address

3904 John Stockbauer Dr Ste 101
Victoria, TX 77904-2456

Phone

(361) 703-5026

Fax

(361) 703-5394

NPI assigned

May 12, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 21, 2018 through Jun 21, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kourtne.roberts.1@18773.direct.athenahealth.com

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.

• Crossroads Psychiatry

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1174321483
  NPD (past) Authorized official
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1851702997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 JOHN STOCKBAUER DR STE 101",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042456",
            "telephone_number": "361-703-5026",
            "fax_number": "361-703-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 JOHN STOCKBAUER DR STE 101",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042456",
            "telephone_number": "361-703-5026",
            "fax_number": "361-703-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KOURTNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R0312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly A Roberson, PT
• Robert C. Lyman, MD, PA
• Robert E. Harvey, MD, PA
• Robert Hugh Johnston, Jr., M.D., PA
• Robert T McMahon
• Blake Robinson, DPT
• Christine B Robinson, OT
• Katelyn Robinson
• Kyla Robinson, SLP
• Amy F Roddy, PTA

• Psychiatry Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.