Loretta Suluda Robertson

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN133863 Issued in GA

Practice address

Crossroads Treatment Center of Danville PC
1555 Meadowview Drive
Danville, VA 24541

Phone

(434) 685-1571

NPI assigned

Dec 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1023614641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CARDINAL RD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121161",
            "telephone_number": "404-217-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CROSSROADS TREATMENT CENTER OF DANVILLE PC",
            "address_2": "1555 MEADOWVIEW DRIVE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24541",
            "telephone_number": "434-685-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LORETTA",
        "middle_name": "SULUDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN133863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Roach, MS CF-SLP
• Brian Thomas Robbins, D.C.
• George Thomas Roberts II, NP
• Mennie Roberts
• Danita Lashawn Robertson
• Richetta Lynn Robertson, B.S.
• Royger Robertson
• Tearra Robertson
• Nan H Robillard, CRNA
• Robert Bruce Robillard, M.D.

• General Practice Registered Nurse in Danville, VA
• Providers in Danville, VA by specialty
• General Practice Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.