TIMOTHY L ROBERTSON NP NPI 1356375034

NPI Information

NPI: 1356375034
Provider Name: TIMOTHY L ROBERTSON, NP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
1400 COULTER
AMARILLO, TX
ZIP 79106
Phone: (806) 414-9800
Get Directions

Timothy L Robertson, NP is a neonatal nurse practitioner in Amarillo, TX. Timothy L Robertson, NP NPI is 1356375034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 COULTER
AMARILLO, TX
ZIP 79106
Phone: (806) 414-9800
Fax: (806) 354-5689

The NPI 1356375034 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 4/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		624928	TEXAS	No
2	363LN0000X	Nurse Practitioner	Neonatal	624928	TEXAS	No
3	363LN0000X	Nurse Practitioner	Neonatal	AP109000	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	160753304	MEDICAID	TEXAS
2	160753306	MEDICAID	TEXAS
3	200064320A	MEDICAID	OKLAHOMA
4	25854836	MEDICAID	NEW MEXICO
5	273585YPT8	MEDICARE PIN	TEXAS
6	160753305	MEDICAID	TEXAS
7	P15444	MEDICARE UPIN
8	160753303	MEDICAID	TEXAS
9	TXB106179	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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