CAROLYN ROBERTSON (NPI# 1306941158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306941158 |
| Entity Type | Individual |
| Full Name | CAROLYN ROBERTSON |
| Credential | APRN |
| Practice Address |
11601 Wilshire Blvd 5th Floor Los Angeles CA 90025-0509 |
| Mailing Address |
2355 N Pyrite Mesa AZ 85207-2509 |
| Practice Telephone | 5168340564 |
| Practice Fax Number | 6468434764 |
| Mailing Telephone | 4803570018 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2014-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | NR 99530 | NJ | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN1555154 | AZ | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 704002 | CA | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
704002 | CA | Nursing Service Providers |
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
214530 | NY | Nursing Service Providers |
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
214530 | NY | Nursing Service Providers |
| N | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
2753 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
NC99530 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
AP3296 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
214530 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183113 | Carolyn Robertson | Developmental Therapist | 1408 Nw 6th St, Gainesville, FL 32601-4020 | 2019-09-12 |
| 1386978674 | Carolyn Robertson | Nurse Practitioner | 70 Hatfield Ln, Ste 204, Goshen, NY 10924-6734 | 2009-09-21 |
| 1326177916 | Carolyn Thomas Robertson | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2007-03-02 |
| Street Address |
11601 WILSHIRE BLVD 5TH FLOOR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-0509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962460071 | Fidelis Diagnostics, Inc. | Specialist/Technologist, Other | 11601 Wilshire Blvd, Suite 500, Los Angeles, CA 90025-0509 | 2006-05-01 |
| 1154928406 | Behavior Care Specialists, Inc | Assistant Behavior Analyst | 11601 Wilshire Blvd, Los Angeles, CA 90025-0509 | 2020-10-08 |
| 1770970238 | Hamila Mossadeghi | Clinic/Center | 11601 Wilshire Blvd, 500, Los Angeles, CA 90025-0509 | 2015-04-22 |
| 1588917322 | California Interventional Medical Group | Phlebology | 11601 Wilshire Blvd, 5th Floor, Los Angeles, CA 99025 | 2012-10-17 |
| 1538298351 | Ceth Ashen | Psychologist | 11601 Wilshire Blvd, 2410, Los Angeles, CA 90025-0509 | 2007-03-05 |
| 1336219526 | Sung Hwan Bae | Physical Therapist | 11601 Wilshire Blvd, Ste 105, Los Angeles, CA 90025-0509 | 2006-11-08 |
| 1841204484 | Ethan Ezaki | Physical Therapist | 11601 Wilshire Blvd, Los Angeles, CA 90025-0509 | 2006-07-28 |
| 1467403709 | Physiotherapy Associates Inc | Clinic/Center | 11601 Wilshire Blvd, Ste 105, Los Angeles, CA 90025-1700 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780134882 | Karishma Gounder | Registered Nurse | 10833 Le Conte Ave, Mdcc 22-315, Los Angeles, CA 90095-3075 | 2016-10-12 |
| 1023498557 | Deborah Kristin Olson | Registered Nurse | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2015-05-29 |
| 1083937148 | Vivien Talosig Shadd | Registered Nurse | 1800 Wilshire Blvd, Los Angeles, CA 90057-3602 | 2010-03-03 |
| 1558406314 | Rosa Linda Gallegos | Registered Nurse | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1104447515 | Nourished Fox, LLC | Registered Nurse | 101 E Coso Ave # 656, Ridgecrest, CA 93555-3655 | 2020-04-27 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1134767593 | Crystal Melody Loucel | Registered Nurse | 1801 21st Ave Apt 102, San Francisco, CA 94122-4448 | 2019-12-17 |
| 1841848314 | Gayle Curto | Registered Nurse | 1450 Treat Blvd # 130, Walnut Creek, CA 94597-2168 | 2019-08-28 |
| 1225682925 | Chau Ngoc Thanh Phan | Registered Nurse | 9191 Westminster Ave Ste 108, Garden Grove, CA 92844-2751 | 2019-07-31 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1548745409 | Krystal Linn Hutcheson | Registered Nurse | 29294 Nectarine St, Menifee, CA 92584-7285 | 2018-09-26 |
| 1184101420 | Terri J Roos | Registered Nurse | 1580 Valencia St Ste 802, San Francisco, CA 94110-4415 | 2018-07-19 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on CAROLYN 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.