SAMARA ROBERTSON (NPI# 1154604015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154604015 |
| Entity Type | Individual |
| Full Name | SAMARA ROBERTSON |
| Credential | LPN |
| Practice Address |
2107 Station Club Dr Sw Marietta GA 30060-7517 |
| Mailing Address |
2107 Station Club Dr. Marietta GA 30060-1227 |
| Practice Telephone | 6785402857 |
| Mailing Telephone | 6785402857 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2016-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN089484 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376853747 | Samara Pottier Robertson | Registered Nurse | 183 Fox Point Rd, Fox Point Rd, Newington, NH 03801-0380 | 2010-10-19 |
| Street Address |
2107 STATION CLUB DR SW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-7517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992280028 | Ronda Frank | Licensed Practical Nurse | 2583 Kamm Rd, Marietta, NY 13110-3119 | 2018-09-25 |
| 1134618309 | Aja Monique Styles | Licensed Practical Nurse | 2702 Station Club Dr Sw, Marietta, GA 30060-7520 | 2018-05-03 |
| 1538657994 | Raelynn Marie Kelly | Licensed Practical Nurse | 1955 Bells Ferry Rd Apt 4322, Marietta, GA 30066-7014 | 2018-05-01 |
| 1124531991 | Advance Home Care & Medical Services, Inc. | Licensed Practical Nurse | 1109 Garrison Plantation Dr Se, Marietta, GA 30060-3145 | 2017-11-14 |
| 1497297329 | Bernice Ellis-veal | Licensed Practical Nurse | 2238 Nantucket Ct Ne, Marietta, GA 30066-2128 | 2016-11-09 |
| 1871962159 | Angela Kay Gillespie | Licensed Practical Nurse | 1338 Colegate Dr, Marietta, OH 45750-1329 | 2015-09-17 |
| 1003257528 | Daniel J Mcmahan | Licensed Practical Nurse | 118 Brant Dr, Marietta, OH 45750-9482 | 2013-07-12 |
| 1538502570 | T. Miles | Licensed Practical Nurse | 1675 Roswell Rd, #1616, Marietta, GA 30062-3662 | 2013-04-09 |
| 1891051520 | Virginia Gale Milligan | Licensed Practical Nurse | 405 Fearing St, Marietta, OH 45750-2822 | 2012-04-06 |
| 1497074942 | Alisha Jasmine Kilmer | Licensed Practical Nurse | 1007 Front St, Marietta, OH 45750-1840 | 2010-05-24 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on SAMARA 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.