Holly E Roberts, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-067101 Issued in AL

Practice address

2214 Gateway Dr Ste C
Opelika, AL 36801-6832

Phone

(334) 741-0075

Fax

(334) 741-4075

NPI assigned

Sep 27, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NM Pacs 2 LLCGroup PAC ID 3375892060, 108 clinicians

Alabama Post-Acute Medical Service 1 PCGroup PAC ID 7416229406, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prohealth Home Health Home health agency, Auburn, AL, CCN 017063

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NM Pacs 2 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1366928749

  AL

  Medicare reassignment Care Compare group NPD
• Alabama Post-Acute Medical Service 1 PC

  • Hospitalist Physician
  • Phenix City, AL
  • NPI 1073052403
  Medicare reassignment Care Compare group
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  AL

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prohealth Home Health, LLC

  dba ProHealth Home Health

  • Home Health Agency
  • Birmingham, AL
  • NPI 1194324624
  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1861583957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 GATEWAY DR STE C",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016832",
            "telephone_number": "334-741-0075",
            "fax_number": "334-741-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 GATEWAY DR STE C",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016832",
            "telephone_number": "334-741-0075",
            "fax_number": "334-741-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HOLLY",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-067101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "631170936",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Jennings Bryan Riley II, MA
• Alejandro Rios, DC
• Sarah Anne Rivera, ATC, LAT
• Martin G Roach, DO
• Robert W DMD Huskey
• Kaycee Colon Roberts, PH.D., LPC, NCC
• Tracy R Roberts, RBT
• Britney Robinson, CRNP
• Jennifer P Robinson, RPH
• Tykerriah Shabyria Robinson

• Nurse Practitioner in Opelika, AL
• Providers in Opelika, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.

Verify at the official NPI Registry.