TIMOTHY L ROBERTSON (NPI# 1356375034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356375034 |
| Entity Type | Individual |
| Full Name | TIMOTHY L ROBERTSON |
| Credential | NP |
| Practice Address |
1400 Coulter Amarillo TX 79106 |
| Mailing Address |
1400 Wallace Blvd Amarillo TX 79106-1708 |
| Practice Telephone | 8064149800 |
| Practice Fax Number | 8063545689 |
| Mailing Telephone | 8064149800 |
| Mailing Fax Number | 8063545689 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 624928 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP109000 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
624928 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 160753306 | 05 | |
| OK | 200064320A | 05 | |
| TX | 160753305 | 05 | |
| TX | 160753304 | 05 | |
| TX | 160753303 | 05 | |
| NM | 25854836 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790290047 | Timothy Malcom Robertson | Technician | 184 Blacklog Road, Fort Gay, WV 25514 | 2017-12-08 |
| 1538415583 | Timothy Wayne Robertson Jr. | Physician Assistant | 4427 N Vineyard Meadow Ln, Katy, TX 77449-3445 | 2012-07-27 |
| 1255365300 | Timothy Wayne Robertson | Optometrist | 400 Solano St, Corning, CA 96021-3433 | 2006-07-11 |
| 1720067432 | Timothy Scot Robertson | Emergency Medicine | 26 Spring Basket Trl, The Woodlands, TX 77389 | 2006-01-11 |
| 1154328151 | Timothy Walter Robertson | Pharmacist | 10150 Brook Rd, Glen Allen, VA 23059-6514 | 2005-07-05 |
| 1750809067 | Timothy Dalton Robertson | Student in an Organized Health Care Education/Training Program | 718 Magnolia Dr, Tuscaloosa, AL 35487-0001 | 2017-09-07 |
| 1407282932 | Timothy Ross Robertson | Counselor | 3940 E 56th St, Indianapolis, IN 46220-5963 | 2013-09-16 |
| 1346440120 | Timothy Luke Robertson | Speech-Language Pathologist | 600 N. Main, Leeton, MO 64761 | 2007-07-20 |
| 1144270299 | Timothy John Robertson | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-05-11 |
| Street Address |
1400 COULTER |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720019359 | Evanthia Biskinis | Pediatrics | 1400 Coulter, Amarillo, TX 79106-1786 | 2006-07-05 |
| 1821020033 | Christy Blake | Nurse Practitioner | 1400 Coulter, Amarillo, TX 79106-1786 | 2006-07-07 |
| 1548292618 | Ron Owens | Psychologist | 1400 Coulter, Amarillo, TX 79106 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508206269 | Melinda Ruth Shannon | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2013-06-26 |
| 1306123385 | Amanda Ann Young | Nurse Practitioner | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2011-11-04 |
| 1316239452 | Dena M Williams | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106 | 2011-05-09 |
| 1790930303 | Becky Renee O'neal | Nurse Practitioner | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2008-11-24 |
| 1851465777 | Brigitte Anne Grissom | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2006-11-20 |
| 1669499455 | Cynthia Pride | Nurse Practitioner | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528528817 | Kensey Duncan | Nurse Practitioner | 6431 Fannin St # 3.242, Houston, TX 77030-1501 | 2019-03-22 |
| 1750840286 | Jissel Odette Espinoza | Nurse Practitioner | 8710 N 29th Ln, Mcallen, TX 78504-5982 | 2019-03-14 |
| 1184183659 | Enedelia Reyna | Nurse Practitioner | 222 E Ridge Rd Ste 202, Mcallen, TX 78503-1251 | 2019-03-14 |
| 1134688757 | Nancy Elizabeth Lane | Nurse Practitioner | 6310 Eagle Creek Dr, Flower Mound, TX 75028-2464 | 2019-03-13 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1043746324 | Maria V Gutierrez | Nurse Practitioner | 1694 Zamora Dr, Brownsville, TX 78526-1997 | 2017-05-05 |
| 1578003786 | Briana Donise Blackstock | Nurse Practitioner | 210 Longhorn Blvd, Wolfforth, TX 79382-5322 | 2017-03-07 |
| 1619413911 | Richard Dunn | Nurse Practitioner | 1129 Birch St, Hurst, TX 76053-4301 | 2017-01-10 |
| 1245781830 | Lisa Marie Elizalde | Nurse Practitioner | 902 S Loop 499 Apt N4, Harlingen, TX 78550-2522 | 2016-10-18 |
| 1972050540 | Daniel Renteria I | Nurse Practitioner | 3280 Joe Battle Blvd., El Paso, TX 79936 | 2016-09-01 |
| Find all providers with the same taxonomy | ||||
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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.