Tammy Suzanne Robertson, RN PCCNP

Primary specialty

Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X

License

568448 Issued in TX

Practice address

3605 Banks Cir
Plano, TX 75025-3849

Phone

(972) 335-0006

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tammy Schnable Robertson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• University of Texas Southwestern Medical Center at Dallas

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1760452767
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669561924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 BANKS CIR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 BANKS CIR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253849",
            "telephone_number": "972-335-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "TAMMY",
        "middle_name": "SUZANNE",
        "credential": "RN PCCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "TX",
            "license": "568448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "ROBERTSON",
            "middle_name": "SCHNABLE",
            "credential": "RN PCCNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark Robertshaw
• Adrieania Robertson
• Cynthia Robertson
• Jennifer Lynn Robertson, MA, CCC-SLP
• Sallie Kaye Robertson, PA-C
• Tracy A Robillard, DPM
• Darrell Edward Robins, M.D.
• Aniya Robinson
• Dylan Robinson
• Jailen Robinson, LPC

• Critical Care Pediatric Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Critical Care Pediatric Nurse Practitioner in Texas

• 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.