Holly Dawn Roberson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1074210 Issued in TX

Practice address

2715 Bolton Boone Dr Ste a
Desoto, TX 75115-2079

Phone

(972) 636-4468

NPI assigned

Apr 20, 2022

Last updated

Oct 10, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cedar Hill Pain and Rehab, PAGroup PAC ID 1052402989, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.roberson.1@19289.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedar Hill Pain & Rehab, PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Cedar Hill, TX
  • NPI 1922148550
  Medicare reassignment Care Compare group NPD
• Expressions Pain and Rehab, P.a.

  • Physical Medicine & Rehabilitation Physician
  • Cedar Hill, TX
  • NPI 1508036963
  NPD (past)

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1871236414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 SMITH RD",
            "city": "MAYPEARL",
            "state": "TX",
            "postal_code": "760642029",
            "telephone_number": "214-632-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 BOLTON BOONE DR STE A",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152079",
            "telephone_number": "972-636-4468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 N Ervay St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752013149",
            "country_code": "US",
            "telephone_number": "972-636-4468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "716 N Highway 67 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751042117",
            "country_code": "US",
            "telephone_number": "972-291-9165",
            "fax_number": "469-575-9975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "HOLLY",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1074210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rising Sun Residential Care
• Rising Sun Residential Care Facility Inc
• Risingstarhc
• Norman Wayne Rittenberry, DC
• Kentoria I'Sharrell Roberson-White, NP
• Robert D. Stringfellow, DDS, Inc.
• Robert E. Torti, MD, PA
• Mia Danielle' Roberts-Lagrange, D.D.S.
• Charlette Roberts, RN
• Tyrone Roberts

• Family Nurse Practitioner in Desoto, TX
• Providers in Desoto, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.