DR. TRACI ARNETTE ROBERTS (NPI# 1003100900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003100900 |
| Entity Type | Individual |
| Full Name | DR. TRACI ARNETTE ROBERTS |
| Credential | M.D. |
| Practice Address |
201 E Nicollet Blvd Burnsville MN 55337-5714 |
| Mailing Address |
1667 Colby Lake Dr Woodbury MN 55125 |
| Practice Telephone | 9528922000 |
| Mailing Telephone | 4048400307 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MT199929 | PA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 62725 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Fifth Ave, Department of Medicine and Internal Medicine Residency, Mckeesport, PA 15132 | 4126642167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033502893 | Traci Roberts | Technician | 4201 N Terrace View St Apt 122, Toledo, OH 43607-1075 | 2015-03-17 |
| 1003385691 | Traci Roberts | Dietitian, Registered | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2018-11-13 |
| 1417155664 | Traci S Roberts | Physical Therapy Assistant | 342 Virginia Avenue, Heartland Rehabilitation Services of Virginia Inc, Wytheville, VA 24382 | 2007-07-10 |
| Street Address |
201 E NICOLLET BLVD |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265737 | South Metropolitan Anesthesia, Pa | Nurse Anesthetist, Certified Registered | 201 E Nicollet Blvd, Burnsville, MN 55337 | 2005-09-14 |
| 1467053389 | Dana Sotherland | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-11-06 |
| 1770181265 | Ericka Maldonado Medina | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-10-15 |
| 1477162196 | Kyle Webb | Registered Nurse | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-07-28 |
| 1568070936 | Fairview Express Care | General Practice | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-07-21 |
| 1972141315 | Whitney Paitra Hernlem | Dietitian, Registered | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-12-17 |
| 1962045187 | Robert Henry Steingraeber | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-10-21 |
| 1821657065 | Kaitlyn Mae Gretsch | Physician Assistant | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-06-11 |
| 1447815600 | Jennifer Lynne Anderson | Occupational Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-05-03 |
| 1881158350 | Alanna Burchman | Nurse Anesthetist, Certified Registered | 201 E Nicollet Blvd, Burnsville, MN 55337-5799 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265609895 | John Anthony Kriz | Hospitalist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2008-05-13 |
| 1023298155 | Jesus F Cabrera | Hospitalist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538446059 | Salwa Bakkali Derksen | Hospitalist | 2000 N Avenue, Northfield, MN 55057 | 2011-11-11 |
| 1710270665 | Ryan James Greiner | Hospitalist | 1812 Clinton Ave Apt 102, Minneapolis, MN 55404-2466 | 2011-05-25 |
| 1831326446 | Shirlee Xiaoping Xie | Hospitalist | 701 Park Ave South - Dept of Medicine, Hennepin County Medical Center, Minneapolis, MN 55415 | 2009-06-22 |
| 1821239161 | Andrew George Keenan | Hospitalist | Essentia Health Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 | 2009-03-17 |
| 1346413291 | Tammy Jo Olson | Hospitalist | Essentia Health St. Mary's Detroit Lakes Hospital, 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2008-04-10 |
| 1497947345 | Saroj Shrestha | Hospitalist | 5 Crown Hill Ln, Mankato, MN 56001-4986 | 2007-08-14 |
| 1689200578 | St. Luke's Hospital of Duluth | Hospitalist | 915 E 1st St, Duluth, MN 55805-2193 | 2020-03-23 |
| 1225662695 | Rebecca D Peterson | Hospitalist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2020-02-25 |
| 1427543735 | Becky Randall | Hospitalist | 1406 6th Ave N, St. Cloud, MN 56303-1901 | 2018-06-28 |
| 1396269288 | Erin Lynn Weier | Hospitalist | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2017-08-01 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.