ROBERT RAY ROBERTSON (NPI# 1134143332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134143332 |
| Entity Type | Individual |
| Full Name | ROBERT RAY ROBERTSON |
| Other Name | BOB ROBERTSON |
| Credential | APRN |
| Practice Address |
3605 N.e. Loop 286 Suite 2000 Paris TX 75460-5085 |
| Mailing Address |
Po Box 6369 Paris TX 75461-6245 |
| Practice Telephone | 9037829500 |
| Practice Fax Number | 9037829550 |
| Mailing Telephone | 9037829500 |
| Mailing Fax Number | 9037829550 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
569790 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TAX IDENTIFICATION NUMBER | 75-2803871 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 8Y8876 | 01 |
| TX | 062572502 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
| 1790109965 | Robert Robertson | Pharmacist | 235 Robt Danel Jr Pkwy, Store #1090, Augusta, GA 30909-0800 | 2014-02-09 |
| 1235254038 | Robert James Robertson | Dentist | 1246 Maryland Ave, Hagerstown, MD 21740 | 2007-03-20 |
| 1255942447 | Robert Payton Robertson | Naturopath | 3513 Ne 45th St Ste 2, Seattle, WA 98105-5665 | 2020-08-12 |
| 1174763817 | Robert Robertson | Counselor | 606 Main Street, Limon, CO 80828 | 2009-02-20 |
| 1497778385 | Robert Forbes Robertson | Internal Medicine | 17075 Devonshire St, Suite # 205, Northridge, CA 91325-1600 | 2006-07-25 |
| 1154373934 | Robert Stewart Robertson | Internal Medicine | 755 W Big Beaver Rd, Ste 231 B, Troy, MI 48084 | 2006-05-17 |
| 1336137892 | Robert Oscar Robertson | Family Medicine | 300 W Washington Ave, Ste 150, Jackson, MI 49201-2180 | 2005-10-10 |
| 1275521031 | Robert August Robertson | Anesthesiology | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2005-10-06 |
| Street Address |
3605 N.E. LOOP 286 SUITE 2000 |
| City | PARIS |
| State | TX |
| Zip Code | 75460-5085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922264225 | Bob Robertson, Mnsc,rn,cs,pc | Clinical Nurse Specialist | 3605 N.e. Loop 286, Suite 2000, Paris, TX 75460-5085 | 2008-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574409 | Patrick Hayden Tomlinson | Pharmacist | 707 Lamar Ave Suite A, Paris, TX 75460 | 2020-09-25 |
| 1053938530 | King Vision of Tyler LLC | Hospice Care, Community Based | 2555 Ruby Way 8102, Paris, TX 75460 | 2020-06-30 |
| 1376013946 | Kristi Marie Holden | In Home Supportive Care | 1320 27th Ne, Paris, TX 75460 | 2018-11-27 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1386123941 | Luz Elena Luna | Licensed Vocational Nurse | 11245 15 St Se, Paris, TX 75460 | 2018-08-14 |
| 1255821369 | Paris Speech Pathology Clinic, Pllc | Speech-Language Pathologist | 2404 Lamar Ave, Paris, TX 75460 | 2018-05-14 |
| 1083127054 | Conway Counseling, LLC | Counselor | 2654 Lamar Ave., 1, Paris, TX 75460 | 2017-11-13 |
| 1851803373 | Paris Wellness Center & Medical Spa | Family Medicine | 1122 E. Austin St., Paris, TX 75460 | 2017-10-25 |
| 1053863357 | Medprime Health Services LLC | Pharmacy | 3310 Lamar Ave Ste B, Paris, TX 75460 | 2016-11-03 |
| 1386098523 | Nikki Goodale | Occupational Therapist | 2710 E Price St, Paris, TX 75460 | 2016-04-13 |
| Find all providers in zip 75460 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922264225 | Bob Robertson, Mnsc,rn,cs,pc | Clinical Nurse Specialist | 3605 N.e. Loop 286, Suite 2000, Paris, TX 75460-5085 | 2008-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126001 | Augusta Chika Anyama | Clinical Nurse Specialist | 20902 Bright Lake Bend Ct, Richmond, TX 77407-4491 | 2020-05-23 |
| 1801123765 | Kathryn M. Gaylord | Clinical Nurse Specialist | 3400 Rowley E. Chambers Avenue, United States Army Institute of Surgical Research, Fort Sam Houston, TX 78234-6315 | 2009-11-12 |
| 1386882975 | Deborah Ann Sanford-wilson | Clinical Nurse Specialist | 411 S Nedderman Dr, Arlington, TX 76019-0001 | 2009-02-04 |
| 1740450642 | Phyllis Jean Ellena | Clinical Nurse Specialist | 4026 Parkway Dr, San Antonio, TX 78228-2311 | 2008-03-06 |
| 1669665220 | Joyce A Hohner | Clinical Nurse Specialist | 964 W Highway 190, Suite 7, Copperas Cove, TX 76522-3800 | 2007-08-27 |
| 1144433954 | Charles Ebenezer Blair | Clinical Nurse Specialist | 1120 Nasa Pkwy 220w, Houston, TX 77058-3362 | 2007-05-08 |
| 1932297363 | Starla B Harrison | Clinical Nurse Specialist | 6363 Forest Park, #749, Dallas, TX 75390-9121 | 2006-10-11 |
| 1356332324 | Jorge Torres | Clinical Nurse Specialist | Brooke Army Medical C Enter, Fort Sam Houston, TX 78234 | 2005-10-31 |
| 1386151272 | Hilda L Solis, Rn Msn Apn PC | Clinical Nurse Specialist | 905 S Jackson Rd, Pharr, TX 78577-6616 | 2018-01-02 |
| 1710413877 | Rebecca Casarez | Clinical Nurse Specialist | 7000 Fannin St, Suite 1620, Houston, TX 77030-5400 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROBERT RAY ROBERTSON.
| 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.