Ethel M Robertson, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0256063-22 Issued in TN

Practice address

404 Dr DB Todd Jr Blvd
Suite 200
Nashville, TN 37203-2896

Phone

(615) 291-9923

Fax

(615) 678-6470

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Harmony Family Health Care, LLC

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1730310228
  Medicare reassignment NPD
• Physician Services of Middle Tennessee, LLC

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1922331842
  Medicare reassignment NPD
• NP Care of Tennessee, LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1750432472
  NPD (past)
• Patient Care LLC

  • Internal Medicine Physician
  • Antioch, TN
  • NPI 1669975223
  NPD (past)
• Mid Atlantic Long Term Care

  • Skilled Nursing Facility
  • Towson, MD
  • NPI 1154337038
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1992892574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 DR DB TODD JR BLVD",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032896",
            "telephone_number": "615-291-9923",
            "fax_number": "615-678-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 DR DB TODD JR BLVD",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032896",
            "telephone_number": "615-291-9923",
            "fax_number": "615-678-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ETHEL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0256063-22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33440461",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1992892574",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy C Robertson, MD
• Amy Kathleen Robertson, FNP
• Ariana Robertson
• Ashley Nicole Robertson
• Caitlin Robertson, SLP-CCC
• Jason Robertson
• Kristin Robertson, D.O
• Laura Katherine Robertson, FNP
• Lynette Robertson, LSPE
• Lynne F Robertson, MA CCC SLP

• Family Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.