Tamica Robertson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

172V00000X Issued in NY

Practice address

529 Courtlandt Ave FL 4
Bronx, NY 10451-5007

Phone

(646) 638-6399

NPI assigned

Mar 1, 2023

Sex

Female

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

State licenses

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1467151274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 178TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574040",
            "telephone_number": "347-638-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 COURTLANDT AVE FL 4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515007",
            "telephone_number": "646-638-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "TAMICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "172V00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Hope Robertson
• Jesse Robertson, PHARMD
• Kerrian Andreen Robertson
• Khadene A Robertson
• Rochelle Rebecca Robertson
• Robin Schiff, MD P.C.
• Hubert G Robin, DO
• Mor Miriam Robin, MD
• Yvonne Robinson-Essor
• Shelly-Ann L Robinson-Henderson

• Community Health Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.