Healthcare Provider Details
I. General information
NPI: 1285974246
Provider Name (Legal Business Name): YOLANDA ANJNETTE ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/27/2013
Last Update Date: 05/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
111 CENTER PARK DR STE 115
KNOXVILLE TN
37922-2121
US
IV. Provider business mailing address
PO BOX 12361
KNOXVILLE TN
37912-0361
US
V. Phone/Fax
- Phone: 865-208-0066
- Fax:
- Phone: 865-208-0066
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP1600X |
| Taxonomy | Pastoral Counselor |
| License Number | |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TA0700X |
| Taxonomy | Adult Development & Aging Psychologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225C00000X |
| Taxonomy | Rehabilitation Counselor |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SL0600X |
| Taxonomy | Long-Term Care Clinical Nurse Specialist |
| License Number | CN00001452 |
| License Number State | TN |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | 1000000012111 |
| License Number State | TN |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | |
| License Number State | |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | CN0014202511 |
| License Number State | TN |
| # 10 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | 1000000012111 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: