TERANI ROBERTSON (NPI# 1922315266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922315266 |
| Entity Type | Individual |
| Full Name | TERANI ROBERTSON |
| Credential | ARNP |
| Practice Address |
92 Joe T Petty Dr Suite 400 Russell Springs KY 42642-8544 |
| Practice Telephone | 2708668881 |
| Practice Fax Number | 2708668849 |
| Mailing Telephone | 2708668881 |
| Mailing Fax Number | 2708668849 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2015-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6617P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100137540 | 05 | |
| KY | LICENSE NUMBER | 6617P | 01 |
| Street Address |
92 JOE T PETTY DR SUITE 400 |
| City | RUSSELL SPRINGS |
| State | KY |
| Zip Code | 42642-8544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938733 | Columbia Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 92 Joe T Petty Dr, Suite 700, Russell Springs, KY 42642-8543 | 2005-08-09 |
| 1295245025 | Russell County Hospital | Clinic/Center | 92 Joe T Petty Dr, Russell Springs, KY 42642-8544 | 2017-10-06 |
| 1508172701 | Cumberland Foot and Ankle Center | Podiatrist | 92 Joe T Petty Dr, Russell Springs, KY 42642-8544 | 2010-08-25 |
| 1679778377 | Russell County Hospital | Clinical Medical Laboratory | 92 Joe T Petty Dr, Suite 500, Russell Springs, KY 42642-8543 | 2007-06-20 |
| 1205987542 | Lily Creek Medical Group, Psc | Nurse Practitioner | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2007-01-15 |
| 1417008756 | Robert L. Bertram | Internal Medicine | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2007-01-15 |
| 1841348406 | Russell Springs Pharmacy | Durable Medical Equipment & Medical Supplies | 92 Joe T Petty Dr, Ste 100, Russell Springs, KY 42642-8544 | 2007-01-08 |
| 1477630879 | Commonwealth Urology Russell Springs | Urology | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2006-11-01 |
| 1992718084 | Laker Drug Inc. | Durable Medical Equipment & Medical Supplies | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2006-08-13 |
| 1700857414 | Miles Kenton Gibson | Family Medicine | 92 Joe T Petty Dr, Suite 300, Russell Springs, KY 42642-8543 | 2006-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645490 | New Hope Counseling Services L.l.c | Psychologist | 330 Roy Drive, Russell Springs, KY 42642 | 2019-02-18 |
| 1629459912 | Ephraim Mcdowell Health Resources,inc | Physician Assistant | 92 Jt Petty Drive, Ste 300, Russell Springs, KY 42642 | 2015-06-12 |
| 1619397775 | Terri Susanne Jones Watkins Odpsc | Optometrist | 24 Caden Way, Suite 2, Russell Springs, KY 42642 | 2014-04-16 |
| 1548512247 | Charles Lenwood Gore | Pharmacist | 1372 Snow Rd, Russell Springs, KY 42642 | 2012-10-05 |
| 1407125016 | Avante Garde Health Centers, LLC | Clinic/Center | 72 Joe T Pettey Dr, Suite B, Russell Springs, KY 42642 | 2011-12-28 |
| 1821392515 | Southern Kentucky Medical Associates, Psc | Nurse Practitioner | 72 Joe T. Pettey Dr, Russell Springs, KY 42642 | 2011-01-10 |
| 1801106620 | Premiertox, Inc. | Clinical Medical Laboratory | 2431 Lakeway Drive, Suite A1, Russell Springs, KY 42642 | 2010-10-14 |
| 1639404593 | Rx Drug Monitoring Laboratory, LLC | Clinical Medical Laboratory | 660 Lakeway Drive, Suite A, Russell Springs, KY 42642 | 2009-10-11 |
| 1902079023 | Russell County Hospital | Specialist | 92 Jt Pettey Drive, Russell Springs, KY 42642 | 2008-04-09 |
| 1225242779 | Independent Speech Inc | Physical Therapist | 1831 Old Clear Springs Rd, Russell Springs, KY 42642 | 2007-05-10 |
| Find all providers in zip 42642 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851798755 | Amanda Mcdonald | Nurse Practitioner | 2465 Lakeway Dr, Russell Springs, KY 42642-4510 | 2014-11-21 |
| 1942285556 | Sharon E Benson | Nurse Practitioner | 124 Dowell Rd, Russell Springs, KY 42642-4278 | 2005-12-07 |
| 1245873090 | Jatessia Marcum | Nurse Practitioner | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2019-10-24 |
| 1124537501 | Nicole L Loy | Nurse Practitioner | 542 Steve Dr, Russell Springs, KY 42642-4601 | 2017-09-28 |
| 1326210709 | Westlake Primary Care of Russell County Nursing Group | Nurse Practitioner | 2465 Lakeway Drive, Russell Springs, KY 42642 | 2008-03-26 |
| 1205987542 | Lily Creek Medical Group, Psc | Nurse Practitioner | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELL SPRINGS |
| Zip Code | 42642 |
Please comment or provide details below to improve the information on TERANI 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.