Individual provider Active NPI

Robin Ertell, LVN

  • Licensed Vocational Nurse
  • Santa Fe, TX
National Provider Identifier
1497065981
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
184823 Issued in TX
Practice address
5330 Avenue N
Santa Fe, TX 77510-8705
Phone
(409) 316-9645
Fax
(713) 456-2381
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 184823 TX Primary

Addresses

Primary practice location

5330 Avenue N
Santa Fe, TX 77510-8705

Mailing address

5330 Ave N
Santa Fe, TX 77510
Phone (409) 316-9645

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

LicenseStateTypeSpecialty
184823TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Life Counseling and Counsultation PLLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1497065981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 AVE N",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "77510",
            "telephone_number": "409-316-9645",
            "fax_number": "713-456-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 AVENUE N",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775108705",
            "telephone_number": "409-316-9645",
            "fax_number": "713-456-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERTELL",
        "first_name": "ROBIN",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "184823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.