THOMAS ROBERTSON (NPI# 1063539070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063539070 |
| Entity Type | Individual |
| Full Name | THOMAS ROBERTSON |
| Credential | RN |
| Practice Address |
421 S Keech St Daytona Beach FL 32114-4623 |
| Practice Telephone | 3862384980 |
| Mailing Telephone | 3862384980 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN9169753 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 312001500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750670097 | Thomas E Robertson | Physical Therapist | 403 S Gear Ave Ste 105, West Burlington, IA 52655-1068 | 2011-04-06 |
| 1871014688 | Thomas Robertson | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2017-06-30 |
| 1730575226 | Thomas Robertson | Internal Medicine | 1307 Federal St Ste B300, Pittsburgh, PA 15212 | 2015-04-10 |
| 1154687952 | Thomas Calloway Robertson | Surgery | 3773 Olentangy River Rd Lowr Level, Columbus, OH 43214-3425 | 2012-04-05 |
| 1144544677 | Thomas Joel Robertson | Social Worker | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2010-03-26 |
| 1750309852 | Thomas Lee Robertson | Psychologist | 1695 Nw 9th Ave, Suite 2303, Miami, FL 33136-1409 | 2006-07-17 |
| 1154382612 | Thomas J Robertson Jr. | Ophthalmology | 400 Nash Medical Arts Mall, Rocky Mount, NC 27804-1415 | 2006-03-31 |
| 1699743773 | Thomas Carter Robertson | Otolaryngology | 161 Wadsworth Drive, Richmond, VA 23236-4500 | 2006-03-14 |
| 1306811872 | Thomas S Robertson | Internal Medicine | 680 E Fremont Medical Park Dr, Suite 100, Fremont, NE 68025-2309 | 2006-02-20 |
| Street Address |
421 S KEECH ST |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942327069 | Elizabeth Legary | Case Manager/Care Coordinator | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2007-03-23 |
| 1770922635 | Betty Ann Drane | Registered Nurse | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2013-06-24 |
| 1356615751 | Linda Bebee Peterson | Registered Nurse | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2012-03-02 |
| 1306119748 | Sharon Anne Rodriguez | Registered Nurse | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2012-02-15 |
| 1174843684 | Jacqueline Meryl Hoffman | Case Manager/Care Coordinator | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2010-06-07 |
| 1144555491 | Beverly Kus | Social Worker | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2009-10-05 |
| 1437484771 | Fran M Birch | Social Worker | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2009-10-05 |
| 1891920831 | Jean Smoczynski | Social Worker | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2009-05-20 |
| 1184741126 | Sharol K Robinson | Registered Nurse | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2007-03-23 |
| 1245357292 | Susan Hart | Registered Nurse | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770922635 | Betty Ann Drane | Registered Nurse | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2013-06-24 |
| 1356615751 | Linda Bebee Peterson | Registered Nurse | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2012-03-02 |
| 1306119748 | Sharon Anne Rodriguez | Registered Nurse | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2012-02-15 |
| 1184741126 | Sharol K Robinson | Registered Nurse | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2007-03-23 |
| 1245357292 | Susan Hart | Registered Nurse | 421 S Keech St, Daytona Beach, FL 32114-4623 | 2007-03-23 |
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|---|---|---|---|---|
| 1689274490 | Kimberly Bell | Registered Nurse | 8243 Garden View Ct, Jacksonville, FL 32256-7164 | 2020-10-30 |
| 1730702978 | Able Behavioral Health Center | Registered Nurse | Orange Blossom Manor Mb4 P92, Blk 8, Interlachen, FL 32148 | 2020-05-22 |
| 1871115360 | Leonida Minelga | Registered Nurse | 320 S Wild Orange Dr, New Smyrna Beach, FL 32168-8378 | 2020-05-07 |
| 1922647577 | Lisa Lyles | Registered Nurse | 9136 Sw 227th Ter, Cutler Bay, FL 33190-1976 | 2019-12-31 |
| 1043877947 | Danielle Street | Registered Nurse | 1010 Audace Ave Apt 209, Boynton Beach, FL 33426-3440 | 2019-05-26 |
| 1205493103 | Fiona D Campbell | Registered Nurse | 2412 Nw 39th Way Apt 102, Lauderdale Lakes, FL 33311-1032 | 2019-05-26 |
| 1528621810 | Lea Ann Biafora | Registered Nurse | 725 16th Ave Ne, Saint Petersburg, FL 33704-4805 | 2019-04-22 |
| 1588125850 | Nancy Angelo Finzar | Registered Nurse | 131 Stanford Rd, Venice, FL 34293-6546 | 2019-03-28 |
| 1851866115 | Murlene Destin | Registered Nurse | 18800 Nw 2nd Ave Ste 219b, Miami, FL 33169-4044 | 2018-10-12 |
| 1518441864 | Mouline Guerrier | Registered Nurse | 6409 Adriatic Way, Greenacres, FL 33413-1088 | 2018-09-22 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.