Vickie Robertson, RN
Individual provider Active NPI Registered Nurse · Jamestown, KY
NPI 1023400124 · NPPES record last updated Feb 26, 2015
Key facts
- NPI
- 1023400124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1048211 (KY)
- Practice address
- 119 Herriford Curve Rd
Jamestown, KY 42629 - Phone
- (270) 343-2551
- NPI assigned
- Feb 26, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1048211 | KY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Regional MHMR Board Outpatient | Past | Accepting new patients | |
| Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1048211 | KY | Yes |
Addresses
Primary practice location
119 Herriford Curve Rd
Jamestown, KY 42629
Mailing address
130 Southern School Rd
Somerset, KY 42501-3223
Other providers in Jamestown, KY
- Lisa Pierce
- Arlie Piercy
- Howard James Popplewell
- RCH Jamestown Healthcare Lab
- Robin D Rigney
- Amy J Roy
- Shaunna E Royse
- Russell Co Ambulance Service
- Russell County Ambulance Service
- Russell County Board of Education
All providers in Jamestown, KY · Registered Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.