Robersonltd

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

546 Issued in NV

Legal business name

ROBERSONLTD

Practice address

3211 W Charleston Blvd
Las Vegas, NV 89102-1953

Phone

(702) 871-3730

Fax

(702) 871-7379

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Charlezetta Roberson, PA

Title

Physician Assistant

Phone

(702) 871-3730

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Park Hill Family Practice Doing business as

Locations

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1235309030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021953",
            "telephone_number": "702-871-3730",
            "fax_number": "702-871-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021953",
            "telephone_number": "702-871-3730",
            "fax_number": "702-871-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERSONLTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "CHARLEZETTA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "702-871-3730",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "546",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2402116",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Hill Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park Hill Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sequoia Roberson
• Taneisha Lashae Roberson
• Tyjai Roberson
• Tyjon Roberson
• Tyniesha Roberson
• Robert a Bessler, M.D., PLLC
• Robert a Kutner PSYD and Associates
• Robert a Whipple, LTD.
• Robert B Grzywacz DPM a Professional Corporation
• Robert B Strimling MD & Associates LLC

• Medical Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.