Provider Demographics
NPI:1285974246
Name:ROBINSON, YOLANDA ANJNETTE
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:ANJNETTE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:A
Other - Last Name:ROBINSON- CURTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 12361
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-0361
Mailing Address - Country:US
Mailing Address - Phone:865-208-0066
Mailing Address - Fax:
Practice Address - Street 1:111 CENTER PARK DR STE 115
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-2121
Practice Address - Country:US
Practice Address - Phone:865-208-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN101YP1600X
103TA0400X, 103TA0700X, 106S00000X, 225C00000X, 376K00000X
TNCN00001452364SL0600X
TN1000000012111376J00000X, 374U00000X
TNCN0014202511376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term Care
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide