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CAROLYN ROBERTSON APRN
NPI 1306941158
Registered Nurse - Diabetes Educator in Los Angeles, CA

Active since September 14, 2006Opted out of Medicare · through Jan 1, 2027
11601 WILSHIRE BLVD, 5TH FLOOR, LOS ANGELES, CA 90025(516) 834-0564(646) 843-4764 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolyn Robertson Aprn NPPES

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

CAROLYN ROBERTSON APRN (NPI 1306941158) is an individual diabetes educator provider in Los Angeles, California, licensed in New York (214530) and active in the NPI registry since September 2006. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1306941158
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameCAROLYN ROBERTSONCredential: APRN
Location Address11601 WILSHIRE BLVD, 5TH FLOORLos Angeles, CA 90025-0509
Mailing Address2355 N PyriteMesa, AZ 85207-2509 · (480) 357-0018
Phone(516) 834-0564
Fax(646) 843-4764
Sole ProprietorYes
Enumeration DateSeptember 14, 2006
Last NPPES UpdateDecember 30, 2014
✔ NPI 1306941158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
Licenses✔ Licensed in NY · 214530✔ Licensed in CA · 704002
Also ListedRegistered NurseTaxonomy 163W00000X · License 704002 (CA), RN1555154 (AZ), NR 99530 (NJ)
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 214530 (NY)
Also ListedClinical Nurse Specialist · Medical-SurgicalTaxonomy 364SM0705X · License 214530 (NY), AP3296 (AZ), NC99530 (NJ), 2753 (CA)
11601 WILSHIRE BLVD, Los Angeles, CA 90025
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINP39615NY
Medicare PINR06032NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carolyn Robertson Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2021 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2021
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

SUNG HWAN BAE DPT
Physical Therapist
11601 WILSHIRE BLVD, STE 105
LOS ANGELES, CA 90025
Los Angeles County (310) 665-7100
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Rehabilitation)
11601 WILSHIRE BLVD, STE 105
LOS ANGELES, CA 90025
Los Angeles County (310) 914-4118
HAMILA MOSSADEGHI
Clinic/Center (Mental Health (Including Community Mental Health Center))
11601 WILSHIRE BLVD, 500
LOS ANGELES, CA 90025
Los Angeles County (310) 779-7710
ETHAN EZAKI
Physical Therapist
11601 WILSHIRE BLVD
LOS ANGELES, CA 90025
Los Angeles County (310) 914-4118
FIDELIS DIAGNOSTICS, INC.
Specialist/Technologist, Other (Electroneurodiagnostic)
11601 WILSHIRE BLVD, SUITE 500
LOS ANGELES, CA 90025
Los Angeles County (877) 408-2488

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 Carolyn Robertson's NPI number?

The NPI number for Carolyn Robertson is 1306941158. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Carolyn Robertson located?

Carolyn Robertson practices at 11601 Wilshire Blvd 5th Floor, Los Angeles, CA 90025. The listed phone number is (516) 834-0564.

What is Carolyn Robertson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

Is Carolyn Robertson enrolled in Medicare?

No. Carolyn Robertson has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carolyn Robertson was last updated on December 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.