Individual provider Active NPI

Robin Amber Walterscheid, NP

  • Acute Care Nurse Practitioner
  • Addison, TX
National Provider Identifier
1871965590
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP129356 Issued in TX
Practice address
14131 Midway Rd Ste 620
Addison, TX 75001-3669
Phone
(972) 249-0200
Fax
(972) 249-0206
NPI assigned
Oct 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP129356 TX Primary

Addresses

Primary practice location

14131 Midway Rd Ste 620
Addison, TX 75001-3669

Mailing address

14131 Midway Rd Ste 620
Addison, TX 75001-3669
Phone (972) 249-0200

Other names 1

  • Robin Amber Love Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630000575 NM Practitioner - Nurse Practitioner 7214230903 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP129356TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Oct 25, 2023 Accepting new patients
NNM Gastroenterology Associates PA CurrentSince Jun 21, 2021 Accepting new patients

Locations

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

1691 Galisteo St
Ste C
Santa Fe, NM 87505
Phone (505) 983-5631

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1871965590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD STE 620",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013669",
            "telephone_number": "972-249-0200",
            "fax_number": "972-249-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD STE 620",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013669",
            "telephone_number": "972-249-0200",
            "fax_number": "972-249-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERSCHEID",
        "first_name": "ROBIN",
        "middle_name": "AMBER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP129356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "LOVE",
            "middle_name": "AMBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.