DR. JERRY LYNN ROBERSON PHD NMD RRT RCP-NPS NPI 1669841656

NPI Information

  • NPI: 1669841656
  • Provider Name: DR. JERRY LYNN ROBERSON, PHD NMD RRT RCP-NPS
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 1118 LOYADELL ST
    ALTUS, OK
    ZIP 73521
  • Phone: (209) 679-8057

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NPI Details

DR. Jerry Lynn Roberson, PHD NMD RRT RCP-NPS is a student in an organized health care education training program in Altus, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jerry Lynn Roberson, PHD NMD RRT RCP-NPS NPI is 1669841656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1118 LOYADELL ST
ALTUS, OK
ZIP 73521-762
Phone: (209) 679-8057
Fax: (888) 476-8693

The enumeration date for this NPI number is 9/19/2015 and was last updated on 4/21/2017.

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
1175F00000XNaturopath0813Foreign CountryNo
22279E0002XRespiratory Therapist, RegisteredEmergency Care9692 AND 71656TEXASNo
32278E1000XRespiratory Therapist, CertifiedEducational9692 AND 71656TEXASNo
42279C0205XRespiratory Therapist, RegisteredCritical Care9692 AND 71656CALIFORNIANo
5390200000XStudent in an Organized Health Care Education/Training ProgramYes

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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