Kathleen Robertson, PHN

Primary specialty

Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X

License

504561 Issued in CA

Practice address

3057 Briw Rd
Placerville, CA 95667-5321

Phone

(530) 642-7126

NPI assigned

Feb 13, 2007

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508908575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 BRIW RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675321",
            "telephone_number": "530-642-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 BRIW RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675321",
            "telephone_number": "530-642-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KATHLEEN",
        "credential": "PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "CA",
            "license": "504561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Riley, CADC II, BSW, MSW
• Azucena Rivera, LVN
• Robert E Anderson DDS a Professional Dental Corp
• Robert E Carter MD Inc
• Amanda Robertson
• Mari Lorraine Robertson
• Robinson'S Pharmacy & Medical Supplies, Inc.
• Robinson'S Pharmacy & Medical Supplies, Inc.
• Amy Merary Robles, PA-C
• Derald W Rochat, M.D.

• Clinical Nurse Specialist in Placerville, CA
• Providers in Placerville, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.