Kathy Noelani Roberson, RN, PHN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN344063 Issued in CA

Practice address

20111 Cedar Rd N
Sonora, CA 95370-5939

Phone

(209) 533-7416

Fax

(209) 533-7406

NPI assigned

Jul 29, 2011

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1790063451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20111 CEDAR RD N",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705939",
            "telephone_number": "209-533-7416",
            "fax_number": "209-533-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20111 CEDAR RD N",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705939",
            "telephone_number": "209-533-7416",
            "fax_number": "209-533-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "KATHY",
        "middle_name": "NOELANI",
        "credential": "RN, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "RN344063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robyn Alison Ritchie, D.D.S.
• Patricia Rivas, DDS
• Levi Robertson
• Astrida V Rockwell
• Jacey Jean Rodriguez-Serva, F.N.P.
• Jodie Rodriguez, RD
• Jorge Ortega Rodriguez, PA-C

• Community Health Registered Nurse in Sonora, CA
• Providers in Sonora, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.