DERRETH C ROBERTS (NPI# 1356397657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356397657 |
| Entity Type | Individual |
| Full Name | DERRETH C ROBERTS |
| Credential | ARNP |
| Practice Address |
789 Central Avenue Dover NH 03820-2526 |
| Mailing Address |
5 Elizabeth Rd South Berwick ME 03908-2174 |
| Practice Telephone | 6037402697 |
| Mailing Telephone | 6037402649 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 047079-23-05 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 1000849 | 05 |
| Street Address |
789 CENTRAL AVENUE |
| City | DOVER |
| State | NH |
| Zip Code | 03820-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033118104 | Wentworth Douglass Hospital | Clinic/Center | 789 Central Avenue, Dover, NH 03820 | 2005-07-20 |
| 1114266202 | Wentworth-douglass Hospital | Pharmacy | 789 Central Avenue, Dover, NH 03820 | 2013-02-08 |
| 1922268549 | Chad M Dubois | Hospitalist | 789 Central Avenue, Dover, NH 03820-2526 | 2008-06-17 |
| 1124292479 | Thin-su-lin Ma | Nurse Practitioner | 789 Central Avenue, Dover, NH 03820-2526 | 2008-04-17 |
| 1508051939 | Minesh Nitinkumar Patel | Hospitalist | 789 Central Avenue, Level 2, Dover, NH 03820-2526 | 2007-09-10 |
| 1497952394 | Sarah Almas | Internal Medicine | 789 Central Avenue, Level 2, Dover, NH 03820-2526 | 2007-07-02 |
| 1861696783 | Leigh K Davenport | Dietitian, Registered | 789 Central Avenue, Dover, NH 03820-2526 | 2007-06-13 |
| 1336340017 | Lilia Routetska | Hospitalist | 789 Central Avenue, Level 2, Dover, NH 03820-2526 | 2007-05-30 |
| 1326150418 | Sharon G Walker | Nurse Practitioner | 789 Central Avenue, Level 2, Dover, NH 03820-2526 | 2006-08-31 |
| 1952321622 | Lynn K Devlin | Family Medicine | 789 Central Avenue, Dover, NH 03820-2526 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138549 | Sara Stephen | Nurse Practitioner | 1531 Rushgrove Cir, Dover, FL 33527-4956 | 2020-09-12 |
| 1124653571 | Sabre Weir | Nurse Practitioner | 155 Silver St # 1, Dover, NH 03820-3948 | 2020-03-05 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1184137747 | Michele D Kassien | Nurse Practitioner | 737 S Queen St Ste 1, Dover, DE 19904-3529 | 2017-11-06 |
| 1447689575 | Kelly Schneiders | Nurse Practitioner | 201 Medical Drive, Dover, OH 44622 | 2013-11-08 |
| 1831420199 | Tuscarawas Valley Urology, Ltd | Nurse Practitioner | 300 Medical Park Drive, Suite 103, Dover, OH 44622 | 2010-01-26 |
| 1487854477 | Michelle Rita Fisher | Nurse Practitioner | Delaware State University, 1200 N. Dupont Hwy., Attn - Student Health Ctr, Dover, DE 19901 | 2007-07-19 |
| 1104830843 | Kathleen Mccormick Mercer | Nurse Practitioner | 611 S Dupont Highway, Dover, DE 19901-4507 | 2006-07-28 |
| 1932193828 | Stacey L Rhyne | Nurse Practitioner | 789 Central Ave # Level1, Dover, NH 03820-2526 | 2005-09-07 |
| 1962400655 | John Thomas Pearson | Nurse Practitioner | 4601 S Dupont Hwy, Dover, DE 19901-6405 | 2005-07-07 |
| Find all providers in DOVER | ||||
Please comment or provide details below to improve the information on DERRETH C ROBERTS.
| 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.