SHANNON YVETTE ROBERTSON (NPI# 1942590146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942590146 |
| Entity Type | Individual |
| Full Name | SHANNON YVETTE ROBERTSON |
| Credential | M.S., LPC |
| Practice Address |
1474 Newbury St Georgetown TX 78626-7617 |
| Practice Telephone | 5126353135 |
| Practice Fax Number | 5128683597 |
| Mailing Telephone | 5126353135 |
| Mailing Fax Number | 5128683597 |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2011-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
65975 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154968758 | Shannon Robertson | Dietitian, Registered | 1800 Baronne St Apt 204, New Orleans, LA 70113-1582 | 2019-12-03 |
| 1184197543 | Shannon Stefan Robertson | Nurse Practitioner | 2719 Brodhead Rd Ste 190, Aliquippa, PA 15001-2793 | 2019-01-09 |
| 1669961819 | Shannon Lea Robertson | Licensed Vocational Nurse | 4251 Golding Ave Apt 5207, Fort Worth, TX 76155-2141 | 2018-05-03 |
| 1205265295 | Shannon Horton Robertson | Registered Nurse | 16412 London Ave, Baton Rouge, LA 70819-1821 | 2013-11-11 |
| 1144483736 | Shannon Cody Robertson | Counselor | 10 Lee Road 546, Smiths, AL 36877-4624 | 2008-07-03 |
| 1124683156 | Shannon Jenine Robertson | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2019-05-06 |
| 1962995795 | Shannon Lee Robertson | Counselor | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2018-06-06 |
| 1982995643 | Shannon Robertson | Chiropractor | 1413 Charnelton St, Eugene, OR 97401-3906 | 2011-04-28 |
| 1134299563 | Shannon Faye Robertson | Case Manager/Care Coordinator | Rr 1, Box 35d, Boley, OK 74829 | 2006-11-09 |
| Street Address |
1474 NEWBURY ST |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-7617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668803 | Gwendolyn Marie Dicapo | Counselor | 207 S Elm St, Georgetown, TX 78626-5042 | 2020-10-27 |
| 1841813003 | The Shepherds New Pathways, LLC | Counselor | 3003 Dawn Dr Ste 101, Georgetown, TX 78628-2800 | 2020-05-22 |
| 1982225025 | Crystal L Force | Counselor | 1400 Westinghouse Rd Apt 416, Georgetown, TX 78626-2364 | 2020-04-29 |
| 1952933087 | Richard Johnston | Counselor | 407 W University Ave Ste 200, Georgetown, TX 78626-6710 | 2020-02-06 |
| 1033762711 | Rachel Saenger and Associates, LLC | Counselor | 3613 Williams Dr Ste 804, Georgetown, TX 78628-1374 | 2019-07-22 |
| 1770143695 | Christine Michelle Williams | Counselor | 3613 Williams Dr Ste 302, Georgetown, TX 78628-1369 | 2019-06-13 |
| 1316506546 | Danielle Terryl West | Counselor | 3613 Williams Dr Ste 1006, Georgetown, TX 78628-1376 | 2019-06-11 |
| 1538724174 | Alison R Winger | Counselor | 200 Bevins Ln Ste E, Georgetown, KY 40324-8532 | 2019-05-09 |
| 1487116810 | Rebecca Mcgee | Counselor | 3613 Williams Dr Ste 901, Georgetown, TX 78628-1375 | 2019-04-04 |
| 1235600438 | Emily Kaye Kipp-wright | Counselor | 106 E 16th St, Georgetown, TX 78626-6904 | 2018-12-16 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
Please comment or provide details below to improve the information on SHANNON YVETTE 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.