SANDRA D ROBERTSON ARNP NPI 1720031172

NPI Information

NPI: 1720031172
Provider Name: SANDRA D ROBERTSON, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1311 N DIXIE HWY
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 769-1304
Get Directions

Sandra D Robertson, ARNP is a psychiatric/mental health nurse practitioner in Elizabethtown, KY. Sandra D Robertson, ARNP NPI is 1720031172. 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:

1311 N DIXIE HWY
ELIZABETHTOWN, KY
ZIP 42701-621
Phone: (270) 769-1304
Fax: (270) 234-8028

The enumeration date for this NPI number is 5/18/2006 and was last updated on 3/29/2008.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	4725P	KENTUCKY	Yes

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	30605018	MEDICAID	KENTUCKY
2	0359097	MEDICARE PIN	KENTUCKY
3	11571509	OTHER		CAQH
4	0358795	MEDICARE PIN	KENTUCKY
5	0359295	MEDICARE PIN	KENTUCKY
6	000000480985	OTHER	KENTUCKY	ANTHEM
7	Q78073	MEDICARE UPIN	KENTUCKY
8	00201002	MEDICARE PIN	KENTUCKY
9	0358695	MEDICARE PIN	KENTUCKY
10	0358997	MEDICARE PIN	KENTUCKY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »