RAE LYNNE ROBERTSON PMHNP-BC NPI 1225705056

NPI Information

  • NPI: 1225705056
  • Provider Name: RAE LYNNE ROBERTSON, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1501 S POLK ST
    AMARILLO, TX
    ZIP 79101
  • Phone: (806) 337-1000

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NPI Details

Rae Lynne Robertson, PMHNP-BC is a psychiatric/mental health nurse practitioner in Amarillo, TX. Rae Lynne Robertson, PMHNP-BC NPI is 1225705056. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1501 S POLK ST
AMARILLO, TX
ZIP 79101-228
Phone: (806) 337-1000

The NPI 1225705056 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2021 and was last updated on 8/28/2021.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health1052582TEXASYes

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: 3/30/2025

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