Cloria Robertson

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3604 Tejo LN Apt 2B
Portsmouth, VA 23703-3032

Phone

(757) 237-3453

NPI assigned

May 22, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1235796459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 TEJO LN APT 2B",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033032",
            "telephone_number": "757-237-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 TEJO LN APT 2B",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033032",
            "telephone_number": "757-237-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CLORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740081019057",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crobe017@odu.edu",
            "affiliation": "N",
            "address_1": "3604 Tejo Ln Apt 2B",
            "city": "Portsmouth",
            "state": "VA",
            "country_code": "US",
            "postal_code": "237033032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chad Nathan Roberts, SUBMARINE IDC
• Lisa Gayle Roberts, RN
• Peter Frazier Roberts, MD
• Starleeka Latasha Roberts, RN
• Susan Marjorie Roberts, DO
• Dwight Robertson, DO
• Jahmal Robertson
• Tiffany Robertson
• Ivan F Robinson, M.D.
• Jordan Robinson

• Student in an Organized Health Care Education/Training Program in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Student in an Organized Health Care Education/Training Program in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.