MRS. ERIN MOLLY ROBERTSON (NPI# 1639641202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639641202 |
| Entity Type | Individual |
| Full Name | MRS. ERIN MOLLY ROBERTSON |
| Credential | APRNCNP |
| Practice Address |
12455 E 100th St N Ste 350 Owasso OK 74055-4675 |
| Practice Telephone | 9182745510 |
| Practice Fax Number | 9184036312 |
| Mailing Telephone | 9182745510 |
| Mailing Fax Number | 9184036312 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 85964 | OK | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
85964 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033666771 | Erin Robertson | Specialist/Technologist | 3102 W Stephens Pl, Chandler, AZ 85226-3135 | 2016-09-09 |
| 1699336677 | Erin Nicole Robertson | Social Worker | 1909 J N Pease Pl, Charlotte, NC 28262-4558 | 2019-06-21 |
| 1518468412 | Erin Robertson | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2018-02-26 |
| 1467900563 | Erin Robertson | Nurse Practitioner | 6112 Saint Giles St, Raleigh, NC 27612-7043 | 2016-09-17 |
| 1790123362 | Erin Michelle Robertson | Counselor | 42145 Lyndie Ln, Temecula, CA 92591-3612 | 2013-06-05 |
| 1518130285 | Erin Mccuiston Robertson | Dietitian, Registered | 2379 Buffalo Rd, Lawrenceburg, TN 38464-4810 | 2008-04-02 |
| 1336356591 | Erin Kathleen Robertson | General Practice | 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314-5641 | 2007-05-17 |
| 1336132414 | Erin L Robertson | Physical Therapist | 32030 23rd Ave S, Federal Way, WA 98003-6031 | 2005-08-24 |
| Street Address |
12455 E 100TH ST N STE 350 |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-4675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497982052 | Jeffrey Brian Craig | Internal Medicine | 12455 E 100th St N Ste 350, Owasso, OK 74055-4675 | 2009-06-22 |
| 1821617077 | Mary Camille Chelf | Registered Nurse | 12455 E 100th St N Ste 350, Owasso, OK 74055-4675 | 2020-04-08 |
| 1801425103 | Michelle L Critchfield | Nurse Practitioner | 12455 E 100th St N Ste 350, Owasso, OK 74055-4675 | 2020-04-07 |
| 1891337796 | Kelsey Louise Williams | Physician Assistant | 12455 E 100th St N Ste 350, Owasso, OK 74055-4675 | 2019-10-11 |
| 1073091062 | Adam Daniel Helm | Nurse Practitioner | 12455 E 100th St N Ste 350, Owasso, OK 74055-4675 | 2018-08-01 |
| 1396249348 | Sandra Elaine Crain | Nurse Practitioner | 12455 E 100th St N Ste 350, Owasso, OK 74055-4675 | 2018-03-22 |
| 1932493178 | Rapha Wiley | Internal Medicine | 12455 E 100th St N Ste 350, Owasso, OK 74055-4675 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396249348 | Sandra Elaine Crain | Nurse Practitioner | 12455 E 100th St N Ste 350, Owasso, OK 74055-4675 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104610 | Progressing Forward Medical and Mental Health Services LLC | Nurse Practitioner | 9000 Nw 84th St, Yukon, OK 73099-8677 | 2020-11-07 |
| 1265031819 | Michelle Gaviola | Nurse Practitioner | 14867 Stoney Ridge Ln, Skiatook, OK 74070 | 2020-10-23 |
| 1235783325 | Julie Reid | Nurse Practitioner | 519 W South Park St, Broken Arrow, OK 74011-2435 | 2019-07-28 |
| 1316504012 | Malinda Kaye Reece | Nurse Practitioner | 15909 Stoneview Dr, Oklahoma City, OK 73170-7628 | 2019-05-29 |
| 1235603606 | Lori Kimberly Scott | Nurse Practitioner | 4320 Avalon Ct, Oklahoma City, OK 73120-8175 | 2019-01-18 |
| 1093280349 | Christie Deloris Shelly | Nurse Practitioner | 1120 S Utica Ave Ste 460, Tulsa, OK 74104-4090 | 2018-10-12 |
| 1285113274 | Millicent Olulade | Nurse Practitioner | 101 Park Ave Ste 1310, Oklahoma City, OK 73102-7216 | 2018-08-09 |
| 1437648201 | Wendy Wilbur | Nurse Practitioner | 816 Crown Heights Ln, Purcell, OK 73080-9717 | 2018-05-07 |
| 1225542905 | Chan Vannarath | Nurse Practitioner | 13401 Three Oaks Dr, Jones, OK 73049-8539 | 2017-11-17 |
| 1053787283 | Amanda Combs | Nurse Practitioner | 202 Beam Ln, Pocola, OK 74902-2463 | 2015-08-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. ERIN MOLLY 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.