ETHEL LEE ROBERSON (NPI# 1467518639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467518639 |
| Entity Type | Individual |
| Full Name | ETHEL LEE ROBERSON |
| Credential | RN |
| Practice Address |
3942 Bitter Springs Dr Fort Irwin CA 92310-1597 |
| Mailing Address |
4th and Inner Loop Fort Irwin CA 92310-1597 |
| Practice Telephone | 7609002338 |
| Mailing Telephone | 7603803190 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
224780 | TX | Nursing Service Providers |
| Street Address |
3942 BITTER SPRINGS DR |
| City | FORT IRWIN |
| State | CA |
| Zip Code | 92310-1597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100568 | Kellyann Michelle Francis | Dental Hygienist | 171, 4th St., Fort Irwin, CA 92310 | 2020-10-06 |
| 1598362253 | Lauren Elisabeth O'keefe | Dental Hygienist | 172 4th Street, Fort Irwin, CA 92310 | 2020-10-06 |
| 1215583737 | Lyra Angelica Velayo Matin | Marriage & Family Therapist | Bldg 390 N Loop Road, Fort Irwin, CA 92310 | 2019-08-12 |
| 1003384629 | Gary Barrow | Chiropractor | 390 Outerloop Rd, Fort Irwin, CA 92310 | 2018-11-13 |
| 1801373055 | Lee John Bizon Jr. | Nurse Practitioner | 390 North Loop Rd, Fort Irwin, CA 92310 | 2018-07-20 |
| 1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
| 1841713195 | James Degroot | Registered Nurse | Weed Army Community Hospital 390 North Loop Rd., Fort Irwin, CA 92310 | 2017-07-19 |
| 1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
| 1568917136 | Kathryn Paine | Physical Therapist | Building 390, North Loop Rd, Fort Irwin, CA 92310 | 2016-08-23 |
| 1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
| Find all providers in zip 92310 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205019734 | Randall Marie Schaefer | Registered Nurse | 4th Street, Fort Irwin, CA 92310-5109 | 2007-12-06 |
| 1114982980 | Clare Dixon Snow | Registered Nurse | 166 Fourth Street and Inner Loop Rd, Room 412, Fort Irwin, CA 92310-5109 | 2006-04-17 |
| 1336102185 | Leana Anita Fox | Registered Nurse | Box 105109, U.S. Army Medical Activity, Fort Irwin, CA 92310 | 2006-04-11 |
| 1295798288 | Sheri Lynn Ferguson | Registered Nurse | Dr. Mary E. Walker Center, Bldg 170, Fort Irwin, CA 92310 | 2006-04-10 |
| 1881642387 | Patrick Brian Polk | Registered Nurse | Weed Army Community Hospital, Fort Irwin, CA 92310 | 2006-05-05 |
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|---|---|---|---|---|
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| 1487262879 | Sally C Okeke | Registered Nurse | 15607 Lakewood Blvd Ste A, Paramount, CA 90723-4691 | 2020-07-21 |
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| 1306464003 | Gloria Quillope | Registered Nurse | 1061 E Bradley Ave, El Cajon, CA 92021-1232 | 2020-07-08 |
| 1164048682 | Marilyn A Wiedemann | Registered Nurse | 12089 Meriden Ln, San Diego, CA 92128-4339 | 2020-06-20 |
| 1760007991 | Petrina J Beugre | Registered Nurse | 110 Cedar Pointe Loop Apt 1004, San Ramon, CA 94583-4198 | 2020-06-12 |
| 1881216703 | Tabitha Shannon | Registered Nurse | 8910 Westhill Rd, Lakeside, CA 92040-3617 | 2020-05-13 |
| 1093335887 | Terrevia La Shawn Buck | Registered Nurse | 1423 W 66th St, Los Angeles, CA 90047-2011 | 2020-04-21 |
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| Find all providers with the same taxonomy | ||||
| City | FORT IRWIN |
| Zip Code | 92310 |
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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.