SUSAN O ROBERTS (NPI# 1619422136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619422136 |
| Entity Type | Individual |
| Full Name | SUSAN O ROBERTS |
| Credential | FNP |
| Practice Address |
1932 Alcoa Hwy Ste 270 Knoxville TN 37920-1537 |
| Mailing Address |
1932 Alcoa Hwy Ste 270 Knoxville TN 37920-1537 |
| Practice Telephone | 8652514658 |
| Practice Fax Number | 8652514659 |
| Mailing Telephone | 8652514658 |
| Mailing Fax Number | 8652514659 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN21691 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q024785 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 Laurel Ave, Suite 101, Knoxville, TN 379161810 | 8655494444 | 8655494449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588952923 | Susan Roberts | Behavioral Analyst | 68 Stevens Ave, Old Bridge, NJ 08857-2247 | 2011-07-19 |
| 1043511637 | Susan Lloyd Roberts | Occupational Therapist | 3527 Utopia Pkwy, Flushing, NY 11358-2309 | 2010-11-12 |
| 1497070056 | Susan M Roberts | Pharmacist | 2933 E 56th Ct, Tulsa, OK 74105-7431 | 2010-04-06 |
| 1659548386 | Susan C. Roberts | Social Worker | 1919 7th St, Boulder, CO 80302 | 2008-05-12 |
| 1326235730 | Susan K Roberts | Registered Nurse | N9520 Black River Ln, Bessemer, MI 49911-9781 | 2007-09-29 |
| 1639384084 | Susan Sammon Roberts | Counselor | 211 Woodland Blvd, Boerne, TX 78006-8986 | 2007-05-11 |
| 1194892984 | Susan E Roberts | Audiologist | 4525 Central School Rd, Saint Charles, MO 63304-7113 | 2006-11-29 |
| 1982776720 | Susan A. Roberts | Internal Medicine | 1500 E Woodrow Wilson Ave # 11, Jackson, MS 39216-5116 | 2006-11-15 |
| 1114023736 | Susan Merlene Roberts | Dentist | 6650 N Beach, #118, Ft Worth, TX 76137 | 2006-09-15 |
| 1912921610 | Susan Hope Roberts | Counselor | 1140 Mayberry Drive, Tahlequah, OK 74464-4603 | 2006-07-26 |
| Street Address |
1932 ALCOA HWY STE 270 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991359 | Michael J Nowak | Physician Assistant | 1932 Alcoa Hwy Ste 270, Knoxville, TN 37920-1537 | 2005-06-13 |
| 1871115923 | University Health System Inc | Nurse Practitioner | 1932 Alcoa Hwy Ste 270, Knoxville, TN 37920-1537 | 2020-05-12 |
| 1871145144 | Linzee Devan Holtkamp | Nurse Practitioner | 1932 Alcoa Hwy Ste 270, Knoxville, TN 37920-1537 | 2019-07-16 |
| 1437629334 | Trea Austin Tipton | Nurse Practitioner | 1932 Alcoa Hwy Ste 270, Knoxville, TN 37920 | 2018-12-04 |
| 1730584038 | Hannah Jumper | Nurse Practitioner | 1932 Alcoa Hwy Ste 270, Knoxville, TN 37920 | 2014-10-29 |
| 1245640713 | Zachary Beam | Surgery | 1932 Alcoa Hwy Ste 270, Knoxville, TN 37920-1537 | 2014-05-05 |
| 1720007941 | Regional Trauma Surgeons | Surgery | 1932 Alcoa Hwy Ste 270, Knoxville, TN 37920-1537 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1598371098 | Angela Ruth Porter | Nurse Practitioner | 333 Huxley Rd, Knoxville, TN 37922-3115 | 2020-09-20 |
| 1326653270 | Khalid Khan | Nurse Practitioner | 9036 Highbridge Dr, Knoxville, TN 37922-1439 | 2020-09-08 |
| 1972117042 | Seth Ingebrigtson | Nurse Practitioner | 4707 Seminole Rd, Knoxville, TN 37918-1548 | 2020-09-04 |
| 1013521285 | Ashley Renee Bonnell | Nurse Practitioner | 2667 Sweeping Rain Ln, Knoxville, TN 37931-3170 | 2020-09-03 |
| 1407460207 | Mofoluwasho Adenekan | Nurse Practitioner | 6100 Stratford Park Blvd, Knoxville, TN 37912-2109 | 2020-08-31 |
| 1790395416 | Jessica Moore | Nurse Practitioner | 232 N Watt Rd, Knoxville, TN 37934-1103 | 2020-08-06 |
| 1598375255 | Abbey Rae Powell | Nurse Practitioner | 10119 Tan Rara Dr, Knoxville, TN 37922-4142 | 2020-08-06 |
| 1194335018 | Jennifer Blair Massaro | Nurse Practitioner | 1424 Whitower Dr, Knoxville, TN 37919-8841 | 2020-08-05 |
| 1194333054 | Sara Ann Dajani | Nurse Practitioner | 7600 Redwood Burl Ln, Knoxville, TN 37931-4183 | 2020-07-16 |
| Find all providers in KNOXVILLE | ||||
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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.