Kent Edward Roberts

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1 University of Arkansas
Fayetteville, AR 72701-1201

Phone

(618) 830-3198

NPI assigned

Dec 13, 2020

Sex

Male

Sole proprietor

No

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

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.

• University of Arkansas

  • Multi-Specialty Clinic/Center
  • Fayetteville, AR
  • NPI 1619908787
  NPD (past)

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1992391023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 N ARROYO AVE APT 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033393",
            "telephone_number": "618-830-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY OF ARKANSAS",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727011201",
            "telephone_number": "618-830-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KENT",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert G Hodous DDS LTD
• Anita Jo Roberts, OTR/L
• Brant Douglas Roberts, PHARMD
• Charissa D Roberts, PTA
• Emma Roberts
• Leslie Roberts, LPC
• Patricia Ann Roberts, NP
• Roger D Roberts, O.D.
• Anna Taylor Robertson, DO
• Kellie Nichole Robertson, MSN, NP-C

• Athletic Trainer in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Athletic Trainer in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.