MR. PAUL ROBERTSON (NPI# 1770718298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770718298 |
| Entity Type | Individual |
| Full Name | MR. PAUL ROBERTSON |
| Credential | MS, RDN, LDN |
| Practice Address |
350 West Woodrow Wilson Avenue Ambulatory Services - Outpatient Dietitian Jackson MS 39213 |
| Practice Telephone | 6018152500 |
| Practice Fax Number | 6019844074 |
| Mailing Telephone | 6018152500 |
| Mailing Fax Number | 6019844074 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2016-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
D1361 | MS | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346687696 | Paul Andrew Robertson | Family Medicine | 825 Meadowsong Cir, Lawrenceville, GA 30043-4236 | 2013-05-28 |
| 1396934485 | Paul E. Robertson | Optometrist | 1302 Longview St, Mayfield, KY 42066-3137 | 2007-10-15 |
| 1306838875 | Paul B Robertson | Nurse Anesthetist, Certified Registered | 6511 Springbook Ave, Rhinebeck, NY 12572 | 2005-08-19 |
| 1639175938 | Paul Alexander Robertson | Specialist | 4525 3rd Ave Se, Ste 200, Lacey, WA 98503-1010 | 2005-06-22 |
| 1326406398 | Paul Douglas Robertson | Counselor | 548 Se Jackson St, Roseburg, OR 97470-2709 | 2016-02-05 |
| 1083849715 | Paul Lamont Robertson | Dentist | 126 N 10th St, Fort Dodge, IA 50501-3915 | 2009-05-26 |
| 1467462440 | Paul A. Robertson | Nurse Anesthetist, Certified Registered | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2006-08-09 |
| Street Address |
350 WEST WOODROW WILSON AVENUE AMBULATORY SERVICES - OUTPATIENT DIETITIAN |
| City | JACKSON |
| State | MS |
| Zip Code | 39213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730164674 | Ms State Department of Health | Home Health | 350 West Woodrow Wilson Avenue, Hinds County Health Department Suite 411-a, Jackson, MS 39213 | 2005-12-14 |
| 1922538057 | Rebecca Butz | Dietitian, Registered | 350 West Woodrow Wilson Avenue, 2nd Floor, Renal Clinic, Jackson, MS 39213 | 2017-06-12 |
| 1891189767 | Kulmoris Joiner | Home Health Aide | 350 West Woodrow Wilson Avenue, Suite 145, Jackson, MS 39213 | 2015-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538351200 | Glenda D Oden | Dietitian, Registered | 800 Ohio Ave, Clarksdale, MS 38614-7200 | 2007-08-15 |
Please comment or provide details below to improve the information on MR. PAUL 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.