SANDRA D ROBERTSON (NPI# 1720031172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720031172 |
| Entity Type | Individual |
| Full Name | SANDRA D ROBERTSON |
| Credential | ARNP |
| Practice Address |
1311 N Dixie Hwy Elizabethtown KY 42701-2621 |
| Mailing Address |
107 Cranes Roost Ct Elizabethtown KY 42701-3650 |
| Practice Telephone | 2707691304 |
| Practice Fax Number | 2702348028 |
| Mailing Telephone | 2707691304 |
| Mailing Fax Number | 2702348028 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4725P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000480985 | 01 |
| KY | 30605018 | 05 | |
| CAQH | 11571509 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568841070 | Sandra Robertson | Respiratory Therapist, Registered | 4411 Timothy Way, Crestwood, KY 40014-9160 | 2015-05-29 |
| 1831452267 | Sandra Robertson | Physical Therapist | 2221 W Detroit St, Broken Arrow, OK 74012-3628 | 2012-06-20 |
| 1134494412 | Sandra Elaine Robertson | Licensed Practical Nurse | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2012-03-20 |
| 1063783108 | Sandra Mitchell Robertson | Physical Therapy Assistant | 511 Windmill St, Walnut Cove, NC 27052-7706 | 2012-01-20 |
| 1497038392 | Sandra Robertson | Registered Nurse | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2011-09-27 |
| 1225310899 | Sandra Robertson | Speech-Language Pathologist | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2011-09-09 |
| 1225258874 | Sandra Robertson | Nurse Practitioner | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2007-04-26 |
| 1851477244 | Sandra Jane Robertson | Registered Nurse | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2006-10-27 |
| Street Address |
1311 N DIXIE HWY |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619929379 | Carla A Mackey | Counselor | 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 | 2006-05-17 |
| 1346630639 | Christina Spalding | Social Worker | 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 | 2015-01-26 |
| 1376950303 | Karen Hall | Counselor | 1311 N Dixie Hwy, Building A, Elizabethtown, KY 42701-2621 | 2014-07-22 |
| 1760899504 | Ronald Allan Lemasters | Counselor | 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 | 2014-07-14 |
| 1730599150 | Katelyn Gosnell | Counselor | 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 | 2014-05-07 |
| 1265852057 | Shirley Anne Pittman Artis | Community/Behavioral Health | 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 | 2014-04-21 |
| 1669891693 | John Alexander Brundage | Counselor | 1311 N Dixie Hwy, Building C, Elizabethtown, KY 42701-2621 | 2014-04-07 |
| 1730505058 | Sytrina Yvette Turner | Social Worker | 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 | 2014-03-11 |
| 1720400583 | Veness Nesha Hall | Counselor | 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 | 2014-01-14 |
| 1093137861 | Brittiney Washington | Counselor | 1311 N Dixie Hwy, Bldg C, Elizabethtown, KY 42701-2621 | 2014-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792441 | Behavioral Health Plus Pllc | Nurse Practitioner | 110 Chase Way Ste 3, Elizabethtown, KY 42701-7827 | 2019-04-15 |
| 1487168936 | Aigne Mental Wellness | Nurse Practitioner | 2608 Ring Rd Ste 107, Elizabethtown, KY 42701-7945 | 2017-11-20 |
| 1134663925 | Advanced Behavioral Health, Pllc | Nurse Practitioner | 110 Helm Street, Elizabethtown, KY 42701-1496 | 2016-12-13 |
| 1659401461 | Jeffrey Prater | Nurse Practitioner | 110 Helm St, Elizabethtown, KY 42701 | 2007-03-07 |
| 1952357774 | Ingrid Medley | Nurse Practitioner | 151 Drexler Cir, Ste 1, Elizabethtown, KY 42701-7843 | 2006-05-25 |
| 1841259272 | Regina Lynn Woods | Nurse Practitioner | 2608 Ring Rd Ste B107, Elizabethtown, KY 42701 | 2006-03-23 |
| 1720688005 | Kevin Luke Houser | Nurse Practitioner | 120 Helmwood Plaza Dr Ste 103, Elizabethtown, KY 42701-3459 | 2020-10-27 |
| 1548868268 | Cheri Michelle Frederick | Nurse Practitioner | 2000 Ring Rd, Elizabethtown, KY 42701-9454 | 2020-10-14 |
| 1558976803 | Kristen Howell | Nurse Practitioner | 2000 Ring Rd, Elizabethtown, KY 42701-9454 | 2020-09-14 |
| 1457992570 | Marinda Moore Schneider | Nurse Practitioner | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2019-09-30 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on SANDRA D 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.