Earnestine Roberts, RN

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHCP-0240 Issued in SC

Practice address

3605 Meeting Street Rd.
Ste.B1
North Charleston, SC 29405

Phone

(843) 552-8165

NPI assigned

Nov 20, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442016000000",
    "number": "1891940649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 MANSFIELD BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294182001",
            "telephone_number": "843-813-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 MEETING STREET RD.",
            "address_2": "STE.B1",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29405",
            "telephone_number": "843-552-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "EARNESTINE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2015-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "R 60938",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-0240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0910",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tierra S Rivers
• Sara Rizzi-Mora, RN
• Sierra Laster Roach, PA-C
• Amanda Roberts
• Charles Stewart Roberts, MD
• Grant Roberts
• Kathleen Megan Roberts, NREMT, INDEPENDENT D
• Karen Robinson, MSR, PT
• Robert J Robinson, MD
• Roche Insulin Delivery Systems, Inc.

• In Home Supportive Care Agency in North Charleston, SC
• Providers in North Charleston, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; 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.