Jaqueline Robertson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

352898 Issued in TX

Practice address

10039 Birch Field Dr
San Antonio, TX 78245-1700

Phone

(210) 542-5855

NPI assigned

May 12, 2020

Last updated

May 12, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1275155343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10039 BIRCH FIELD DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451700",
            "telephone_number": "210-542-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10039 BIRCH FIELD DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451700",
            "telephone_number": "210-542-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JAQUELINE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "352898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol F Robertson, M.D.
• Eleanor Terhune Robertson, PH.D.
• Emily Robertson, MD
• Frank M Robertson, M.D.
• James Edward Robertson, OTR
• Joshua Robertson
• Kalista Robertson
• Kathryn Margaret Robertson, LPC
• Laura A Robertson, LPC
• Lauren Elena Robertson, DO

• Licensed Vocational Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.