LAURA BROCHARD ROBERTSON (NPI# 1205465218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205465218 |
| Entity Type | Individual |
| Full Name | LAURA BROCHARD ROBERTSON |
| Practice Address |
747 52nd St Ste 245 Oakland CA 94609-1809 |
| Practice Telephone | 5104283331 |
| Practice Fax Number | 5106013979 |
| Mailing Telephone | 5104283331 |
| Mailing Fax Number | 5106013979 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366859910 | Laura C. Robertson | Occupational Therapist | 2817 Monticello Dr, Bartlesville, OK 74006-5827 | 2014-07-15 |
| 1467717157 | Laura Marie Robertson | Massage Therapist | 8 3rd St Nw, Osseo, MN 55369-1013 | 2012-07-09 |
| 1326361825 | Laura Louise Robertson | Specialist/Technologist | 5990 S. Val Vista Rd, Chandler, AZ 85249 | 2010-03-11 |
| 1063634079 | Laura A Robertson | Counselor | 1921 Burnet St, San Antonio, TX 78202-2516 | 2007-05-02 |
| 1235167511 | Laura Robertson | Pediatrics | 505 Parnassus 3rd Fl M-306, San Francisco, CA 94143-0001 | 2006-06-28 |
| 1598768558 | Laura O Robertson | Audiologist-Hearing Aid Fitter | 211 S Main St, Laconia, NH 03246-3718 | 2005-05-24 |
| 1326528597 | Laura Robertson | Social Worker | 103 Myron St, West Springfield, MA 01089-1598 | 2018-08-17 |
| 1659886810 | Laura Meghann Robertson | Nurse Practitioner | 521 E Michigan Ave, Kalamazoo, MI 49007-3889 | 2017-12-11 |
| 1477007185 | Laura Robertson | Counselor | 18090 Beach Blvd, Suite 5, Huntington Beach, CA 92648-1327 | 2016-08-10 |
| 1114309812 | Laura Robertson | Counselor | 17103 Preston Rd Ste 288, Dallas, TX 75248-1372 | 2015-06-18 |
| Street Address |
747 52ND ST STE 245 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861931834 | Navjot Dhammi | Student in an Organized Health Care Education/Training Program | 747 52nd St Ste 245, Oakland, CA 94609-1809 | 2017-02-23 |
| 1790314342 | Eva M Zalis | Student in an Organized Health Care Education/Training Program | 747 52nd St Ste 245, Oakland, CA 94609-1809 | 2020-04-06 |
| 1588293294 | Megan Yuasa | Student in an Organized Health Care Education/Training Program | 747 52nd St Ste 245, Oakland, CA 94609-1809 | 2020-04-04 |
| 1306475256 | Courtney Wen-lun Tam | Student in an Organized Health Care Education/Training Program | 747 52nd St Ste 245, Oakland, CA 94609-1809 | 2020-04-03 |
| 1730718503 | Cristina Alexis Perez | Student in an Organized Health Care Education/Training Program | 747 52nd St Ste 245, Oakland, CA 94609-1809 | 2020-04-03 |
| 1184253940 | Alda Lam | Student in an Organized Health Care Education/Training Program | 747 52nd St Ste 245, Oakland, CA 94609-1809 | 2020-04-03 |
| 1912536608 | Anh Ngoc Vo | Student in an Organized Health Care Education/Training Program | 747 52nd St Ste 245, Oakland, CA 94609-1809 | 2020-04-03 |
| 1215566112 | Scott Eric Klein | Student in an Organized Health Care Education/Training Program | 747 52nd St Ste 245, Oakland, CA 94609-1809 | 2020-04-03 |
| 1376172239 | Kira Lee Turnbull | Student in an Organized Health Care Education/Training Program | 747 52nd St Ste 245, Oakland, CA 94609-1809 | 2020-04-03 |
| 1396374294 | Manmeet Singh Sehdev | Student in an Organized Health Care Education/Training Program | 747 52nd St Ste 245, Oakland, CA 94609-1809 | 2020-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1316553290 | Yohannes Fesseha Gebrehiwet | Student in an Organized Health Care Education/Training Program | 2221 9th Ave, Oakland, CA 94606-2613 | 2020-09-16 |
| 1700490729 | Briauna J Taylor | Student in an Organized Health Care Education/Training Program | 1638 47th Ave, Oakland, CA 94601-5273 | 2020-09-08 |
| 1578174116 | Jenae Monasterial | Student in an Organized Health Care Education/Training Program | 1722 Clemens Rd, Oakland, CA 94602-1802 | 2020-08-16 |
| 1205447299 | Brendan Mulligan | Student in an Organized Health Care Education/Training Program | 530 24th St Apt 202, Oakland, CA 94612-1723 | 2020-08-12 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1043836778 | Ali Khavari | Student in an Organized Health Care Education/Training Program | 450 30th St Ste 2860, Oakland, CA 94609-3302 | 2020-06-18 |
| 1952925208 | Melodee Edith Au | Student in an Organized Health Care Education/Training Program | 2445 Telegraph Ave Apt 305, Oakland, CA 94612-2426 | 2020-06-02 |
| 1871116913 | Stew Ellington | Student in an Organized Health Care Education/Training Program | 420 Avon St, Oakland, CA 94618-1024 | 2020-05-23 |
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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.