Dimitria D. Roberts

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

281634 Issued in GA

Practice address

1050 Big Joe Rd
Monticello, FL 32344-5188

Phone

(678) 699-5401

NPI assigned

Aug 19, 2025

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

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1982581369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 CORINTH CHURCH RD",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316362921",
            "telephone_number": "678-699-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BIG JOE RD",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323445188",
            "telephone_number": "678-699-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DIMITRIA",
        "middle_name": "D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "281634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derylene Proctor
• Shereka Teresha Ransom
• Reshape Counseling and Consulting LLC
• Karen Richards, LCSW
• Marcia Katonya Roberts-Morris, ARNP
• Mintonette Register Salvo, CRDH
• Sanctuary Clinics, Inc.
• Patricia Joan Sanzone, CFA
• Wesley Douglas Scoles, M.D.
• Joyce E. Siplin, LMHC

• Psychiatric/Mental Health Nurse Practitioner in Monticello, FL
• Providers in Monticello, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.