Teresa A Robertson, CNM RN

Primary specialty

MidwifeTaxonomy code 176B00000X

License

90674NUBURG Issued in CO

Practice address

3011 North Broadway
Suite 23
Boulder, CO 80302

Phone

(303) 258-3904

NPI assigned

Aug 30, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407966062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 3111",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804663111",
            "telephone_number": "303-258-3904",
            "fax_number": "303-258-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 NORTH BROADWAY",
            "address_2": "SUITE 23",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "303-258-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "TERESA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CNM RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CO",
            "license": "90674NUBURG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02906746",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan C. Roberts, MSW, LICSW
• William A Roberts, M.D.
• Zachary William Roberts, D.C.
• Alexander Robertson
• Tanya Robertson, PTA
• Pamela R Robichaud, DPT
• Robin Goldstein-Lincoln, LLC
• Sallie Robinson Ward, PH.D., LPC
• Abigail Judith Robinson, LCSW
• Kelly Nan Robinson, MA

• Midwife in Boulder, CO
• Providers in Boulder, CO by specialty
• Midwife in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.