MEDICARE: ROBERTA K PATTERSON CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	090003031A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518440791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTA K PATTERSON CNM

Provider Business Mailing Address
First Line	:	1100 REID PARKWAY
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374
Country	:	US
Telephone Number	:	765-935-8802
Fax Number	:	765-983-3219

Provider Business Practice Location Address
First Line	:	1050 REID PKWY STE 220
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374-1160
Country	:	US
Telephone Number	:	765-962-9541
Fax Number	:	765-966-5952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2018
Last Update Date	:	12/02/2025

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Directions to “ ROBERTA K PATTERSON CNM” Practice Location

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