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MIA WALLIN ROBERTS CPNP
NPI 1245651512
Nurse Practitioner - Pediatrics in Englewood, CO

Active since January 03, 2014
4107 S FEDERAL BLVD STE B, ENGLEWOOD, CO 80110(303) 315-6150 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2018, Jul 21, 2017, Jul 13, 2017 (3 updates tracked since 2017).

About Mia Wallin Roberts Cpnp NPPES

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

MIA WALLIN ROBERTS CPNP (NPI 1245651512) is an individual pediatrics provider in Englewood, Colorado, licensed in Colorado (APN.0990539-NP) and active in the NPI registry since January 2014. She maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1245651512
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMIA WALLIN ROBERTSCredential: CPNP
Location Address4107 S FEDERAL BLVD STE BEnglewood, CO 80110-4316
Mailing Address13120 E 19th Ave C288-5Aurora, CO 80045 · (303) 724-8555 · Fax (303) 724-4729
Phone(303) 315-6150
Sole ProprietorYes
Enumeration DateJanuary 3, 2014
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1245651512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in CO · APN.0990539-NP✔ Licensed in LA · AP07790
4107 S FEDERAL BLVD STE B, Englewood, CO 80110
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Secondary Practice Location 1

Location 11936 Magazine StNew Orleans, LA 70130-5016 · Phone (504) 529-5558

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 Mia Roberts's NPI number?

The NPI number for Mia Roberts is 1245651512. It was assigned to this individual provider in the NPPES registry on January 3, 2014.

Where is Mia Roberts located?

Mia Roberts practices at 4107 S Federal Blvd Ste B, Englewood, CO 80110. The listed phone number is (303) 315-6150.

What is Mia Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mia Roberts was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.