Individual provider Active NPI

Valerie Robertson, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1497420665
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28367 Issued in TN
Practice address
8460 Tumbler Ridge LN
Memphis, TN 38125-3479
Phone
(901) 834-7925
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28367 TN Primary

Addresses

Primary practice location

8460 Tumbler Ridge LN
Memphis, TN 38125-3479

Mailing address

8460 Tumbler Ridge LN
Memphis, TN 38125-3479
Phone (901) 834-7925

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL valerie.robertson@shelbycountytn.gov Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
28367TNMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: valerie.robertson@krogerhealth.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1497420665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8460 TUMBLER RIDGE LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253479",
            "telephone_number": "901-834-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 TUMBLER RIDGE LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253479",
            "telephone_number": "901-834-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "VALERIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "valerie.robertson@shelbycountytn.gov",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8460 Tumbler Ridge Ln",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381253479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.