Tara M Roberts, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

147299 Issued in OH

Practice address

3907 Chestnut Oak TRL
Lima, OH 45807-3113

Phone

(567) 204-4837

Fax

(419) 229-0006

NPI assigned

Dec 14, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• BSB Company LLC

  • In Home Supportive Care Agency
  • Lima, OH
  • NPI 1063158988
  NPD (past) Authorized official

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1871862268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 CHESTNUT OAK TRL",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458073113",
            "telephone_number": "567-204-4837",
            "fax_number": "419-229-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 CHESTNUT OAK TRL",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458073113",
            "telephone_number": "567-204-4837",
            "fax_number": "419-229-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TARA",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "147299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashanta Roberson, RN
• Annette Mae Roberts, HAS
• Erin Kristine Roberts
• Jason Roberts
• Marilyn Roberts
• Tonya Roberts
• Candace Robertson, LPN
• Ashlee Irene Robinson, RN
• Diana Robinson
• Gina Lee Robinson

• Licensed Practical Nurse in Lima, OH
• Providers in Lima, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.