Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tatonya Monique Roberts, FNP

Individual provider Family Nurse Practitioner · NPI 1639603293

Tatonya Monique Roberts, FNP is a Nurse Practitioner in Ballwin, Missouri. Qualified in 2016, 10 years ago. Practices with Minuteclinic Diagnostic of Kansas PA, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
10
Licensed in
IL, MO
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

14400 Clayton Rd
Ballwin, MO 63011-2713
Phone: (636) 207-1137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2017004145 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209015544 (IL)

Record details

NPI number1639603293
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 20, 2017
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Minuteclinic Diagnostic Of Kansas Pa — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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