Active NPI
Deborah Diane Robertson, RNC,NNP
- Neonatal Nurse Practitioner
- Wheatland, WY
National Provider Identifier
1710994496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 20381.24
- Practice address
- 4755 Palmer Canyon Rd
Wheatland, WY 82201-9020 - Phone
- (307) 331-0187
- NPI assigned
- Aug 2, 2006
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 20381.24 | WY | Primary |
Addresses
Primary practice location
4755 Palmer Canyon Rd
Wheatland, WY 82201-9020
Mailing address
4755 Palmer Canyon Rd
Wheatland, WY 82201-9020
Phone (307) 331-0187
Other names 1
- Diane Robertson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 240 | WY | MD | Occupational Therapist |
| 20381.24 | WY | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710994496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 PALMER CANYON RD",
"city": "WHEATLAND",
"state": "WY",
"postal_code": "822019020",
"telephone_number": "307-331-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 PALMER CANYON RD",
"city": "WHEATLAND",
"state": "WY",
"postal_code": "822019020",
"telephone_number": "307-331-0187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "DEBORAH",
"middle_name": "DIANE",
"credential": "RNC,NNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "WY",
"license": "20381.24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "ROBERTSON",
"credential": "RNC,NNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wheatland, WY
- Julie Lorraine Resheske, CPNP
- Respitech Home Health Care Inc (Rotech)
- Mary Alyce Reynolds, L.P.N.
- Shannon Ridge, PHARMD
- Elizabeth Rosemarie Roark, BSW, MSW, PCSW-1175
- Hayley Robertson, SLP
- Katherine Nicole Roth, FNP-C
- Rural Physicians Group - Pannu PLLC
- William Michael Ryker, M.S.
- Shelby Sailer, PHARMD
Sources for this page
- 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.