Provider Demographics
NPI:1255841144
Name:ROBERTSON, KASEY MONICA (NP-C)
Entity type:Individual
Prefix:MRS
First Name:KASEY
Middle Name:MONICA
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:KASEY
Other - Middle Name:MONICA
Other - Last Name:SCHAATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 ROUNDROCK CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-8016
Mailing Address - Country:US
Mailing Address - Phone:940-613-5445
Mailing Address - Fax:
Practice Address - Street 1:1600 11TH ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-4300
Practice Address - Country:US
Practice Address - Phone:940-761-6004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135337363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner