{"npi":"1053307090","type":"NPI-1","status":"active","name":{"display":"Dr. Kathleen Roberts DNP","other":[],"first":"KATHLEEN","last":"ROBERTS","middle":"ANNE","credential":"DNP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"CA","license":"95193472"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"TN","license":"5173"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"ME","license":"CNP211353"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"WA","license":"AP60728469"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"OR","license":"201708253"}]},"addresses":[{"purpose":"LOCATION","street_1":"2725 SW CEDAR HILLS BLVD STE 200","city":"BEAVERTON","state":"OR","postal_code":"970051435","country_code":"US","phone":"5033526000","fax":"5033526081"},{"purpose":"MAILING","street_1":"6025 STAGE RD STE 42-415","city":"BARTLETT","state":"TN","postal_code":"381348374","country_code":"US","phone":"9014980054","fax":"8884192656"}],"license":{"state":"OR","number":"201708253"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3903423","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180521003008","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"WA","pac_id":"4082627781"},{"enrlmt_id":"I20230109000490","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"OR","pac_id":"4082627781"}]},"enumeration_date":"2005-09-26","last_updated":"2023-01-09","_meta":{"source":"NPPES","snapshot_date":"2023-01-09","doc_url":"https://findmynpi.com/api"}}