CAROLYN ROBERTSON APRN NPI 1306941158

NPI Information

NPI: 1306941158
Provider Name: CAROLYN ROBERTSON, APRN
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
11601 WILSHIRE BLVD
5TH FLOOR
LOS ANGELES, CA
ZIP 90025
Phone: (516) 834-0564
Get Directions

Carolyn Robertson, APRN is a diabetes educator registered nurse in Los Angeles, CA. Carolyn Robertson, APRN NPI is 1306941158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11601 WILSHIRE BLVD
5TH FLOOR
LOS ANGELES, CA
ZIP 90025-509
Phone: (516) 834-0564
Fax: (646) 843-4764

The enumeration date for this NPI number is 9/14/2006 and was last updated on 12/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		704002	CALIFORNIA	No
2	163W00000X	Registered Nurse		RN1555154	ARIZONA	No
3	163W00000X	Registered Nurse		NR 99530	NEW JERSEY	No
4	163WD0400X	Registered Nurse	Diabetes Educator	214530	NEW YORK	Yes
5	163WD0400X	Registered Nurse	Diabetes Educator	704002	CALIFORNIA	No
6	163WM0705X	Registered Nurse	Medical-Surgical	214530	NEW YORK	No
7	364SM0705X	Clinical Nurse Specialist	Medical-Surgical	214530	NEW YORK	No
8	364SM0705X	Clinical Nurse Specialist	Medical-Surgical	AP3296	ARIZONA	No
9	364SM0705X	Clinical Nurse Specialist	Medical-Surgical	NC99530	NEW JERSEY	No
10	364SM0705X	Clinical Nurse Specialist	Medical-Surgical	2753	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P39615	MEDICARE UPIN	NEW YORK
2	R06032	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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