Lillian T Robertson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000005302 Issued in TN

Practice address

403 E University Street
Livingston, TN 35870-0001

Phone

(931) 403-5939

Fax

(931) 403-5940

NPI assigned

Aug 16, 2005

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

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.

• Cumberland Spine & Sport, LLC

  • Pain Medicine Physician
  • Jamestown, TN
  • NPI 1245514306
  NPD (past)
• Fentress Family Care LLC

  • Primary Care Clinic/Center
  • Jamestown, TN
  • NPI 1700411592
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1053303230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E UNIVERSITY ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701511",
            "telephone_number": "931-403-5939",
            "fax_number": "931-403-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E UNIVERSITY STREET",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "358700001",
            "telephone_number": "931-403-5939",
            "fax_number": "931-403-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LILLIAN",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000005302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3345734",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Abigail Reagon, RN
• Richard Rhodenbaugh II, PTA
• Mallory Latoya Richardson, RN, MSN
• Robert V Richardson, PHARMD
• Leah Roberts, RT
• Rocky Top Delivery Service
• Brandi Ruffin, RRT
• Samantha E. McLerran, M. D. PLLC
• Jacob Parker Savage, PT, DPT
• William Charles Scott, PT

• Family Nurse Practitioner in Livingston, TN
• Providers in Livingston, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.