Active NPI
Lakeisha Robertson
- Prosthetist
- Hoover, AL
National Provider Identifier
1487516118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- S36T1C738G
- Practice address
- 3659 Lorna Rd Ste 139
Hoover, AL 35216-5959 - Phone
- (662) 524-5428
- NPI assigned
- Dec 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | S36T1C738G | AL | Primary |
Addresses
Primary practice location
3659 Lorna Rd Ste 139
Hoover, AL 35216-5959
Mailing address
325 Chapel Hill TRL
Fultondale, AL 35068-6078
Phone (662) 524-5428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S36T1C738G | AL | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Royal Extensionz LLC | Prosthetist | Current | Accepting new patients |
Locations
3659 Lorna Rd
Ste 139
Hoover, AL 35216
Phone (662) 524-5428
Organizations & group practices 1
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.
-
- Prosthetist
- Hoover, AL
- NPI 1962345066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1487516118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 CHAPEL HILL TRL",
"city": "FULTONDALE",
"state": "AL",
"postal_code": "350686078",
"telephone_number": "662-524-5428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3659 LORNA RD STE 139",
"city": "HOOVER",
"state": "AL",
"postal_code": "352165959",
"telephone_number": "662-524-5428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "LAKEISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "AL",
"license": "S36T1C738G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.