Active NPI
Cynthia Danette Robertson, R.N.
- Home Health Registered Nurse
- Milwaukee, WI
National Provider Identifier
1982896874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 138489
- Practice address
- 5309 W Fond Du Lac Ave
Suite 114
Milwaukee, WI 53216-1347 - Phone
- (414) 352-6524
- Fax
- (414) 352-6524
- NPI assigned
- Aug 14, 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 138489 | WI | Primary |
Addresses
Primary practice location
5309 W Fond Du Lac Ave
Suite 114
Milwaukee, WI 53216-1347
Mailing address
2850 W Mill Rd
Unit C
Glendale, WI 53209-3242
Phone (414) 352-6524
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138489 | WI | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1982896874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 W MILL RD",
"address_2": "UNIT C",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532093242",
"telephone_number": "414-352-6524",
"fax_number": "414-352-6524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5309 W FOND DU LAC AVE",
"address_2": "SUITE 114",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532161347",
"telephone_number": "414-352-6524",
"fax_number": "414-352-6524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "CYNTHIA",
"middle_name": "DANETTE",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WI",
"license": "138489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.