Active NPI
Dedra Denise Whitney Robertson, R.N.
- Registered Nurse
- Oklahoma City, OK
National Provider Identifier
1033356845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R0082411
- Practice address
- 9908 Sahara Dr
Oklahoma City, OK 73162-7517 - Phone
- (405) 684-6512
- NPI assigned
- Jan 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R0082411 | OK | Primary |
Addresses
Primary practice location
9908 Sahara Dr
Oklahoma City, OK 73162-7517
Mailing address
9908 Sahara Dr
Oklahoma City, OK 73162-7517
Phone (405) 684-6512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0082411 | OK | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1033356845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9908 SAHARA DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731627517",
"telephone_number": "405-684-6512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9908 SAHARA DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731627517",
"telephone_number": "405-684-6512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITNEY ROBERTSON",
"first_name": "DEDRA",
"middle_name": "DENISE",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "R0082411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.