Individual provider Active NPI

Tasma Graham Robertson, DNP. NP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Whiteville, TN
National Provider Identifier
1003194044
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15935 Issued in TN
Practice address
1440 Union Springs Rd
Whiteville, TN 38075-7526
Phone
(731) 254-9400
Fax
(731) 254-2326
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15935 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15935 TN Primary

Addresses

Primary practice location

1440 Union Springs Rd
Whiteville, TN 38075-7526

Mailing address

86 Larkson LN
Jackson, TN 38305-7526
Phone (731) 694-0056

Other practice location 1

86 Larkson Ln
Jackson, TN 38305-3830
Phone (731) 694-0056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111114000063 TN Practitioner - Nurse Practitioner 3072787886 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15935TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Approach Family CurrentSince Dec 11, 2023 Accepting new patients
Positive Living Group CurrentSince Mar 26, 2024 Accepting new patients

Locations

18 Brentshire Sq
Ste D
Jackson, TN 38305

18 Brentshire Sq
Ste 18
Jackson, TN 38305
Phone (731) 513-5200

112 N Liberty St
Jackson, TN 38301
Phone (731) 436-4400

39 Murray Guard Dr
Jackson, TN 38305
Phone (731) 736-4400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1003194044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 LARKSON LN",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057526",
            "telephone_number": "731-694-0056",
            "fax_number": "731-201-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 UNION SPRINGS RD",
            "city": "WHITEVILLE",
            "state": "TN",
            "postal_code": "380757526",
            "telephone_number": "731-254-9400",
            "fax_number": "731-254-2326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Larkson Ln",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053830",
            "country_code": "US",
            "telephone_number": "731-694-0056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "TASMA",
        "middle_name": "GRAHAM",
        "name_prefix": "Mrs.",
        "credential": "DNP. NP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15935",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "15935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, TN

Sources for this page

Verify at the official NPI Registry.