Provider Demographics
NPI:1093397523
Name:ROBERTS, REBECCA JUDITH (MD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JUDITH
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6365 IVY ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1725
Mailing Address - Country:US
Mailing Address - Phone:615-457-4277
Mailing Address - Fax:
Practice Address - Street 1:2200 CHILDRENS WAY
Practice Address - Street 2:8232 DOCTORS OFFICE TOWER
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-9225
Practice Address - Country:US
Practice Address - Phone:615-936-2555
Practice Address - Fax:615-936-3601
Is Sole Proprietor?:No
Enumeration Date:2021-04-23
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program