Erica Nicole Robertson

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

L000000026537 Issued in TN

Practice address

1807 Johnson St
Dyersburg, TN 38024-3557

Phone

(731) 882-8716

NPI assigned

Jun 15, 2019

Last updated

Jul 22, 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Heart to Heart Non-Medical Senior Care LLC

  • In Home Supportive Care Agency
  • Dyersburg, TN
  • NPI 1023629367
  NPD Authorized official
• Heart to Heart Non-Medical Senior Care LLC

  • In Home Supportive Care Agency
  • Dyersburg, TN
  • NPI 1518684893
  NPD Authorized official
• Hearts of Soul Independent Living for H.E.R. LLC

  • In Home Supportive Care Agency
  • Antioch, TN
  • NPI 1861342768
  NPD Authorized official

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

{
    "created_epoch": "1560556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1447810189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 JOHNSON ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243557",
            "telephone_number": "731-882-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 JOHNSON ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243557",
            "telephone_number": "731-882-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ERICA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-15",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TN",
            "license": "L000000026537",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "TN",
            "license": "L000000026537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Alison Riles, DNP-C
• Riverside Surgery Center, LLC
• Courtney White Roberson, NP
• David Allen Roberts, PA-C
• Michelle Renee Roberts, FNP-BC
• Katelyn Meredith Robertson, RN, APRN, NP-C
• Brian Keith Robinson, O.D.
• Kyle Pendleton Rose, NP
• Rural Health Clinic of West TN PLLC
• Rural Health Clinics of West TN, PLLC

• Personal Care Attendant in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Personal Care Attendant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.