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SAMARA ROBERTSON LPN
NPI 1154604015
Licensed Practical Nurse in Marietta, GA

Active since September 27, 2011
2107 STATION CLUB DR SW, MARIETTA, GA 30060(678) 540-2857 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Samara Robertson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMARA ROBERTSON LPN (NPI 1154604015) is an individual licensed practical nurse in Marietta, Georgia, licensed in Georgia (LPN089484) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1154604015
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSAMARA ROBERTSONCredential: LPN
Location Address2107 STATION CLUB DR SWMarietta, GA 30060-7517
Mailing Address2107 Station Club Dr.Marietta, GA 30060-1227 · (678) 540-2857
Phone(678) 540-2857
Sole ProprietorYes
Enumeration DateSeptember 27, 2011
Last NPPES UpdateJanuary 11, 2016
✔ NPI 1154604015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in GA · LPN089484
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2107 STATION CLUB DR SW, Marietta, GA 30060
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRANQUIL EMBERS MENTAL HEALTH COUNSELING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2107 STATION CLUB DR SW
MARIETTA, GA 30060
Cobb County (347) 346-1406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samara Robertson's NPI number?

The NPI number for Samara Robertson is 1154604015. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Samara Robertson located?

Samara Robertson practices at 2107 Station Club Dr SW, Marietta, GA 30060. The listed phone number is (678) 540-2857.

What is Samara Robertson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Samara Robertson was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.