MRS. CODIE M ROBERTSON


Address: 110 Vista Dr, Pocatello, ID 83201-4520
Phone: 2082342300

MRS. CODIE M ROBERTSON (NPI# 1134477870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134477870
Entity Type Individual
Full Name MRS. CODIE M ROBERTSON
Credential FNP-C
Practice Address 110 Vista Dr
Pocatello
ID 83201-4520
Mailing Address 5330 Stuart Ave
Chubbuck
ID 83202-2262
Practice Telephone 2082342300
Mailing Telephone 2082216187
Enumeration Date 2012-08-28
Last Update Date 2012-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
NP-1210A ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 110 VISTA DR
City POCATELLO
State ID
Zip Code 83201-4520

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134113251 Mark L Mansfield Family Medicine 110 Vista Dr, Pocatello, ID 83201-5824 2005-09-02
1255808010 Tawny Alice Spurlock Physician Assistant 110 Vista Dr, Pocatello, ID 83201-5824 2018-10-30
1467979443 Mvh Endoscopy LLC Clinic/Center 110 Vista Dr, Pocatello, ID 83201-5824 2017-08-29
1114451804 Mvh PC Specialists LLC Family Medicine 110 Vista Dr, Pocatello, ID 83201-5824 2017-04-19
1851839542 Jordan Stevens Nurse Practitioner 110 Vista Dr, Pocatello, ID 83201-5824 2017-02-02
1760928865 University of Utah Pediatric Services Internal Medicine 110 Vista Dr, Pocatello, ID 83201-5824 2017-01-12
1558713131 Jacob R Foster Physician Assistant 110 Vista Dr, Pocatello, ID 83201-5824 2016-07-07
1952395063 Richard M Maynard Family Medicine 110 Vista Dr, Pocatello, ID 83201-5824 2005-09-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235765330 Timothy Palmer Social Worker 400 S 11th Ave, Ste 204, Pocatello, ID 83201 2020-03-20
1225687759 Hanna Percy Nurse Practitioner 1151 Hospital Way Ste 201, Pocatello, ID 83201 2019-09-07
1659935195 Carol Jane Dillon Counselor 707 North 7th Avenue, Suite D, Pocatello, ID 83201 2019-04-30
1154801595 Mv Pocatello Ent, LLC Otolaryngology 333 N 18th Ave Ste B3, Pocatello, ID 83201 2018-08-15
1306344346 Ruth Anne Patton Social Worker 850 E Young St, Pocatello, ID 83201 2018-01-24
1598289274 Lucas Alexander Bryan Specialist/Technologist 1535 E Terry St, Pocatello, ID 83201 2017-08-03
1205365632 Geno Alan Giovanini Denturist 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 2017-06-08
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1346797842 Shailyn Jenkins Specialist/Technologist 665 Warren Ave., Pocatello, ID 83201 2016-09-01
1992258149 Christopher Jared White Social Worker 300 N 7th Ave, Pocatello, ID 83201 2016-07-24
Find all providers in zip 83201

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679183388 Health Innovations, LLC Nurse Practitioner 240 N 18th Ave, Pocatello, ID 83201-3324 2020-08-06
1285295634 Rebekah Lucero Nurse Practitioner 2185 Steven St, Pocatello, ID 83201-1928 2019-06-26
1285199869 Jason Knighton Nurse Practitioner 5800 S 5th Ave, Pocatello, ID 83204-2205 2019-02-07
1356812945 Dellisa Dawn Eddington Nurse Practitioner 6000 S 5th Ave, Pocatello, ID 83204-5075 2018-12-08
1457839730 In Balance: Integrative Primary Healthcare Pllc Nurse Practitioner 1017 E Young St, Pocatello, ID 83201-5237 2018-07-30
1851885420 Jordan Clay Chapman Nurse Practitioner 777 Hospital Way Ofc Bldg, Pocatello, ID 83201-2797 2018-06-18
1356846398 Paul Haislip Nurse Practitioner 340 N 14th Ave, Pocatello, ID 83201-4118 2018-03-29
1568906865 Dustin Reno Nurse Practitioner 1155 Yellowstone Ave Ste D, Pocatello, ID 83201-4369 2016-12-06
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1376992503 Andrea Walsh Nurse Practitioner 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 2016-06-08
Find all providers in POCATELLO

Competitor

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City POCATELLO
Zip Code 83201

Improve Information

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Dataset Information

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.

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