COURTNEY ROBERTS LVN
NPI 1093485203
Preventive Medicine - Addiction Medicine in Tyler, TX

Active since September 18, 2021
1510 S VINE AVE, TYLER, TX 75701(903) 526-4055 Get Directions Write a Review

NPPES record last updated: September 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Courtney Roberts Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY ROBERTS LVN (NPI 1093485203) is an individual addiction medicine provider in Tyler, Texas, licensed in Texas (326670) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1093485203
Entity TypeIndividualFemale
Primary Taxonomy2083A0300X
Provider Legal NameCOURTNEY ROBERTSCredential: LVN
Location Address1510 S VINE AVETyler, TX 75701-2826
Mailing Address303 Tully TrlWhitehouse, TX 75791-3127 · (903) 921-0060
Sole ProprietorNo
Enumeration DateSeptember 18, 2021
NPPES CertifiedSeptember 18, 2021
NPI 1093485203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License Licensed in TX · 326670
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
1510 S VINE AVE, Tyler, TX 75701

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1510 S VINE AVE
TYLER, TX 75701
Clinic/Center (Methadone)
1510 S VINE AVE
TYLER, TX 75701
Licensed Vocational Nurse
1510 S VINE AVE
TYLER, TX 75701
Counselor (Addiction (Substance Use Disorder))
1510 S VINE AVE
TYLER, TX 75701
Counselor (Addiction (Substance Use Disorder))
1510 S VINE AVE
TYLER, TX 75701
Licensed Vocational Nurse
1510 S VINE AVE
TYLER, TX 75701
Counselor (Addiction (Substance Use Disorder))
1510 S VINE AVE
TYLER, TX 75701
Counselor (Addiction (Substance Use Disorder))
1510 S VINE AVE
TYLER, TX 75701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Roberts's NPI number?

The NPI number for Courtney Roberts is 1093485203. It was assigned to this individual provider in the NPPES registry on September 18, 2021.

Where is Courtney Roberts located?

Courtney Roberts practices at 1510 S Vine Ave, Tyler, TX 75701. The listed phone number is (903) 526-4055.

What is Courtney Roberts's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Courtney Roberts was last updated on September 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.