Kayli Elizabeth Robison, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP136414 Issued in TX

Practice address

703 E Marshall Ave Ste 4002
Longview, TX 75601-5622

Phone

(903) 315-3966

Fax

(903) 230-0795

NPI assigned

Mar 7, 2018

Last updated

Apr 23, 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

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFADCA
• Direct secure messaging: kayli.robison@wchcl.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Special Health Resources for Texas, Incorporated

  dba Longview Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1043209919
  Medicare reassignment NPD
• Special Health Resources for Texas, Incorporated

  dba Paris Clinic

  • Federally Qualified Health Center (FQHC)
  • Paris, TX
  • NPI 1346791258
  NPD
• Special Health Resources for Texas, Incorporated

  dba Midtown Clinic of Tyler

  • Federally Qualified Health Center (FQHC)
  • Tyler, TX
  • NPI 1609298132
  NPD
• Special Health Resources for Texas, Incorporated

  dba Woman and Child Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1922556067
  NPD (past)

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1427550250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3662",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756063662",
            "telephone_number": "903-315-3966",
            "fax_number": "903-230-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MARSHALL AVE STE 4002",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015622",
            "telephone_number": "903-315-3966",
            "fax_number": "903-230-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "KAYLI",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deatra Robertson
• Larry Wayne Robertson, LICENSED MASSAGE
• James Ray Robinette, CRNA
• Judy Robinson
• Justin Robinson
• Damaris Rodgers
• Karen J. Rodriguez, MS, OTR/L
• Lawrence H. Roe Jr., M.D.
• Susan Averitte Roerecke, R.PH.
• April Latricia Rogers

• Family Nurse Practitioner in Longview, TX
• Providers in Longview, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.