Katherine Antoinette Robertson, CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

A004652 Issued in AR

Practice address

1307 Trinity Blvd
Texarkana, AR 71854-8310

Phone

(870) 773-6467

NPI assigned

May 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Katherine Antoinette Smith Former name

Medicare fee-for-service enrollment

Enrolled in AR, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collom and Carney Clinic AssociationGroup PAC ID 1355249541, shared by 7 NPIs, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Onesource Home Care Inc Home health agency, Longview, TX, CCN 679138
• Enhabit Home Health Home health agency, Longview, TX, CCN 679079
• Elite Home Health Home health agency, Nashville, AR, CCN 047138
• Encompass Health Home Health Home health agency, Texarkana, AR, CCN 047168
• Christus Homecare - St Michael Home health agency, Texarkana, TX, CCN 679372
• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherine.robertson.p1@direct.collom-carney.nextgenshare.com

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.

• Collom & Carney Clinic Association

  • Family Medicine Physician
  • Prescott, AR
  • NPI 1740262732
  Medicare reassignment NPD
• Collom & Carney Clinic Association

  • Hematology & Oncology Physician
  • Texarkana, TX
  • NPI 1114909934
  Medicare reassignment NPD
• Permian Premier Health Services Inc

  • Contractor
  • Odessa, TX
  • NPI 1285664763

  AR

  Medicare reassignment
• Collom & Carney Clinic Association

  • Cardiovascular Disease Physician
  • Texarkana, TX
  • NPI 1013252279
  NPD
• Collom & Carney Clinic Association

  • Clinical Medical Laboratory
  • Texarkana, TX
  • NPI 1164405296
  NPD
• Collom & Carney Clinic Association

  • Nephrology Physician
  • Texarkana, TX
  • NPI 1265414635
  NPD
• Collom & Carney Clinic Association

  • Family Medicine Physician
  • Texarkana, TX
  • NPI 1285616805
  NPD
• Collom & Carney Clinic Association

  • Pain Medicine (Anesthesiology) Physician
  • Texarkana, TX
  • NPI 1962829747
  NPD
• Collom and Carney Clinic Association

  • Neurology Physician
  • Texarkana, TX
  • NPI 1215918693
  NPD (past)
• Collom and Carney Clinic Association

  • Clinic/Center
  • Texarkana, TX
  • NPI 1871575514
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahm Action Home Health, LP

  • Home Health Agency
  • Texarkana, AR
  • NPI 1780076208
  Care Compare affiliation
• Southwest Arkansas Homecare, LLC

  • Home Health Agency
  • Nashville, AR
  • NPI 1881892404
  Care Compare affiliation
• Ahm Action Home Health, LP

  • Home Health Agency
  • Longview, TX
  • NPI 1609934470
  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734
  Care Compare affiliation
• Onesource Home Care, Inc.

  • Home Health Agency
  • Longview, TX
  • NPI 1104147339
  Care Compare affiliation
• Texas Health Care Group of Texarkana, LLC

  • Home Health Agency
  • Texarkana, TX
  • NPI 1437269651
  Care Compare affiliation

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1407203425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 TRINITY BLVD",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718548310",
            "telephone_number": "870-773-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KATHERINE",
        "middle_name": "ANTOINETTE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP131089",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "AR",
            "license": "A004652",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A004652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SMITH",
            "middle_name": "ANTOINETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Riverview Behavioral Health, LLC
• Riverview Behavioral Health, LLC
• Keith Roadcap
• Veronica Kay Roberts, LPN II
• Robertson North Heights Pharmacy Inc
• Martin Clifton Robertson
• Robertsons North Heights Pharmacy Inc
• Sherida Michelle Robinson, MHPP
• Tracie Lynn Robinson
• Rocky Mountain Holdings, LLC

• Gerontology Nurse Practitioner in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Gerontology Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.