Active NPI
Brian Robertson, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Dublin, OH
National Provider Identifier
1750890620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN.353030
- Practice address
- 6850 Perimeter Dr Ste D
Dublin, OH 43016-8051 - Phone
- (614) 580-6917
- NPI assigned
- Sep 23, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN.353030 | OH | Primary |
Addresses
Primary practice location
6850 Perimeter Dr Ste D
Dublin, OH 43016-8051
Mailing address
5 Timberidge CT
Chillicothe, OH 45601-1190
Phone (740) 970-0412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.353030 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506124800000",
"number": "1750890620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 TIMBERIDGE CT",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456011190",
"telephone_number": "740-970-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 PERIMETER DR STE D",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430168051",
"telephone_number": "614-580-6917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "BRIAN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-23",
"last_updated": "2017-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "RN.353030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.