Rebecca Holly T Robertson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R851350 Issued in MS

Practice address

122 Airways PL
Southaven, MS 38671-5872

Phone

(662) 349-9990

Fax

(662) 349-2620

NPI assigned

Aug 31, 2006

Last updated

Apr 19, 2021By the provider in NPPES

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

Other identifiers 1

Other names 1

• Holly T Robertson Other name

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Painstop Spine Clinic, LLCGroup PAC ID 9739355124, 9 clinicians

Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Singing River Health System Hospital, Pascagoula, MS, CCN 250040

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15461/brand/2/csg/1/fhir/r4

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

• Painstop Spine Clinic, LLC

  • Interventional Pain Medicine Physician
  • Biloxi, MS
  • NPI 1063715746
  Medicare reassignment Care Compare group NPD
• Healthcare Plus Limited Liability Company

  • Specialist
  • Metairie, LA
  • NPI 1063927465

  MS

  Medicare reassignment Care Compare group
• Michael E Steuer MD PC

  • Interventional Pain Medicine Physician
  • Southaven, MS
  • NPI 1073652160
  Medicare reassignment NPD
• Michael E Steuer, MD, PC

  • Specialist
  • Cordova, TN
  • NPI 1861824559
  Medicare reassignment NPD
• Wound Management Specialists, LLC

  • Nurse Practitioner
  • Flowood, MS
  • NPI 1972150084
  Medicare reassignment
• Midsouth Interventional Pain Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Southaven, MS
  • NPI 1083898605
  NPD
• Painstop Spine Clinic, LLC

  • Interventional Pain Medicine Physician
  • Pascagoula, MS
  • NPI 1558666149
  NPD
• Michael E Steuer MD PC

  • Specialist
  • Jackson, TN
  • NPI 1114276052
  NPD
• Gynecologic and Obstetric Services, PA

  dba Healthy Start

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1912019092
  NPD (past)
• Michael E. Steuer MD PC

  • Specialist
  • Oxford, MS
  • NPI 1124348545
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937

  Hospital

  Care Compare affiliation
• Singing River Health System

  • General Acute Care Hospital
  • Pascagoula, MS
  • NPI 1124136593
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1033221106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 AIRWAYS PL",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715872",
            "telephone_number": "662-349-9990",
            "fax_number": "662-349-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 AIRWAYS PL",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715872",
            "telephone_number": "662-349-9990",
            "fax_number": "662-349-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "REBECCA",
        "middle_name": "HOLLY T",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R851350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120194",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "ROBERTSON",
            "middle_name": "T",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brett Allen Rivers, PT
• Philip Rixey, LMSW
• Kattrina Roach, PHD
• Roberts & Garza Orthodontics Services PLLC (Smile Straight Orthodontics)
• Lashunda Thompson Roberts, DMD
• Ashley R Robins, R.D., L.D.,
• Amanda Leigh Robinson, DO
• Avianne Dominique Robinson, DO
• Nikkita Shanee Robinson, CRNA
• Rodgers Wellness LLC

• Family Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.