Kimyona A. Roberts, M.S.P.H., M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

BP10043697 Issued in TX

Practice address

8840 Cypress Waters Blvd
Suite 300
Coppell, TX 75019-4594

Phone

(409) 759-4622

Fax

(844) 496-7453

NPI assigned

Jun 8, 2012

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: kroberts180554@direct.myadvocateaurora.org

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1972865780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 CYPRESS WATERS BLVD",
            "address_2": "SUITE 300",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194594",
            "telephone_number": "409-759-4622",
            "fax_number": "844-496-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 CYPRESS WATERS BLVD",
            "address_2": "SUITE 300",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194594",
            "telephone_number": "409-759-4622",
            "fax_number": "844-496-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KIMYONA",
        "middle_name": "A.",
        "credential": "M.S.P.H., M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP10043697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "8840 Cypress Waters Blvd",
            "address_2": "Suite 300",
            "city": "Coppell",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750194594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kroberts180554@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8840 Cypress Waters Blvd",
            "address_2": "Suite 300",
            "city": "Coppell",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750194594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Sallyn Roberts
• Brooks Mackenzy Robertson, DC
• Durrel D Rodgers
• Evelyn Rodriguez

• Anesthesiology Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.