What is Dedra Robertson's NPI number?

Dedra Robertson's National Provider Identifier (NPI) is 1104388701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dedra Robertson's specialty?

Dedra Robertson is listed in the NPPES registry with a primary specialty of Customized Equipment (DME) (Suppliers).

Where is Dedra Robertson located?

Dedra Robertson's practice location on file with NPPES is 110 Beasley St, Andalusia, AL 36420-4957.

What is Dedra Robertson's phone number?

The practice phone number listed in the NPPES registry for Dedra Robertson is (334) 892-3784.

Is Dedra Robertson's NPI active?

Yes — Dedra Robertson's NPI (1104388701) is active in the NPPES registry as of the last update on 2019-04-02.

IndividualActive

Dedra Robertson

NPI 1104388701 · Customized Equipment (DME) · Andalusia, AL

Dedra Robertson is a Customized Equipment (DME) provider in Andalusia, AL (NPI 1104388701).

Provider details

NPI number: 1104388701
Entity type: Individual
Primary specialty: Customized Equipment (DME)Suppliers
Sex: Female
Sole proprietor: Yes
License: 23190424 (AL)

Specialties & taxonomies

Customized Equipment (DME)Primary332BC3200XLicense 23190424 (AL)
Suppliers

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

110 Beasley St

Andalusia, AL 36420-4957

Phone: (334) 892-3784

Street-level locationGet directions

More AL providers

Mailing address