ALICE J ROBERTS (NPI# 1487743571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487743571 |
| Entity Type | Individual |
| Full Name | ALICE J ROBERTS |
| Credential | FNP |
| Practice Address |
757 Bryant St Statesville NC 28677-4142 |
| Mailing Address |
904 Troy Mill Rd Hamptonville NC 27020-7265 |
| Practice Telephone | 7048735658 |
| Mailing Telephone | 7045394086 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2011-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5004976 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0001132012 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810004033 | 05 | |
| WV | BCBS | 0001743447 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508842956 | Alice A. Roberts | Pathology | 721 Fairfax Ave Ste 200, Norfolk, VA 23507-2007 | 2005-12-19 |
| 1962464354 | Alice F Roberts | Nurse Practitioner | 3124 W Highway 22, Corsicana, TX 75110-2435 | 2006-04-03 |
| 1285630665 | Alice K Roberts | Obstetrics & Gynecology | 300 Welsh Rd, Horsham, PA 19044-2248 | 2005-06-22 |
| Street Address |
757 BRYANT ST |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-4142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282698 | James M. Rhyne, Md,pa | Clinic/Center | 757 Bryant St, Statesville, NC 28677-4142 | 2005-08-11 |
| 1235433806 | Iredell Physician Network LLC | Internal Medicine | 757 Bryant St, Statesville, NC 28677-4142 | 2010-12-22 |
| 1912155409 | Stephanie Marie Michel | Physician Assistant | 757 Bryant St, Statesville, NC 28677-4142 | 2008-09-09 |
| 1366623464 | Christina Lynn Lawley | Physician Assistant | 757 Bryant St, Statesville, NC 28677-4142 | 2007-11-16 |
| 1326157991 | Robert J Ward | Internal Medicine | 757 Bryant St, Statesville, NC 28677-4142 | 2006-08-29 |
| 1821083197 | James M Rhyne | Internal Medicine | 757 Bryant St, Statesville, NC 28677-4142 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548887706 | Tasha Marie Vangile | Nurse Practitioner | 120 Westview Ln, Statesville, NC 28625-8221 | 2020-07-02 |
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1144626003 | Valorie Stewart Byrd | Nurse Practitioner | 150 Magnolia Hill Ln, Statesville, NC 28677-9735 | 2014-11-05 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1427362367 | Melissa Stevens Jolly | Nurse Practitioner | 513 Brookdale Dr, Statesville, NC 28677-4107 | 2010-08-03 |
| 1558695213 | Jessica Daniels Wood | Nurse Practitioner | 310 Davie Avenue, Statesville, NC 28677 | 2009-09-29 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1508063355 | Ann Green Moose | Nurse Practitioner | 1893 E Broad St # B-4, Statesville, NC 28625-4307 | 2007-06-27 |
| 1073739843 | Judy Lackey Keighron | Nurse Practitioner | 308c Mocksville Hwy, Statesville, NC 28625-8267 | 2007-04-18 |
| 1578788741 | Beverly B Sproul | Nurse Practitioner | 470 Crawford Rd, Statesville, NC 28625-8545 | 2007-04-14 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.