William Scott Robertsom

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

86-1707961 Issued in IN

Practice address

82 Thompson Dr
Vincennes, IN 47591-5648

Phone

(812) 681-0128

NPI assigned

Sep 29, 2021

Sex

Male

Sole proprietor

Yes

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

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.

• Knox County Non-Medical Home Health Care LLC

  • Home Health Agency
  • Vincennes, IN
  • NPI 1063184877
  NPD

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1306518261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 THOMPSON DR # 82",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915648",
            "telephone_number": "812-681-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 THOMPSON DR",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915648",
            "telephone_number": "812-681-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSOM",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "IN",
            "license": "86-1707961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Roach
• Lesley Ann Roache, MS, OTR
• Britni Lynn Roark, AGACNP-BC
• Mary Robb
• Jessy Robbins, MS PHD LMT
• Carly Robinson, MD
• Kasey Robinson, MSW
• Roger Frank Robison, MD
• Janice L Rodriguez, PTA
• Jason Rodriguez, OD

• Home Modifications Contractor in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Home Modifications Contractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.