Active NPI
Deborah H. Robertson, APRN, BC, FNP
- Family Nurse Practitioner
- Columbia, MO
National Provider Identifier
1619164340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 078236
- Practice address
- #1 Hosp Dr MC-11, Dco92.10
Columbia, MO 65212-0001 - Phone
- (573) 884-9924
- Fax
- (573) 884-5735
- NPI assigned
- Sep 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 078236 | MO | Primary |
Addresses
Primary practice location
#1 Hosp Dr MC-11, Dco92.10
Columbia, MO 65212-0001
Mailing address
4401 Thornbrook Ter
Columbia, MO 65203-9741
Phone (573) 234-1341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078236 | Other | MO | APRN, BC, FNP |
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 |
|---|---|---|---|
| 078236 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1619164340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 THORNBROOK TER",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652039741",
"telephone_number": "573-234-1341",
"fax_number": "573-884-5735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#1 HOSP DR MC-11, DCO92.10",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652120001",
"telephone_number": "573-884-9924",
"fax_number": "573-884-5735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "DEBORAH",
"middle_name": "H.",
"name_prefix": "Ms.",
"credential": "APRN, BC, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "078236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN, BC, FNP",
"identifier": "078236",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.