Active NPI
Raenita Janay Robinson
- Case Manager/Care Coordinator
- Philadelphia, PA
National Provider Identifier
1023633872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3600 Market St # 6THF
Philadelphia, PA 19104-3284 - Phone
- (215) 586-7600
- Fax
- (215) 386-2604
- NPI assigned
- Jun 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3600 Market St # 6THF
Philadelphia, PA 19104-3284
Mailing address
1216 Arch St FL 6
Philadelphia, PA 19107-2835
Phone (215) 981-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103688798001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Actionaids, Inc. | Case Manager/Care Coordinator | Current | Accepting new patients |
Locations
1216 Arch St
Fl 6
Philadelphia, PA 19107
Phone (215) 981-0088
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Philadelphia, PA
- NPI 1366571176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1023633872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 ARCH ST FL 6",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191072835",
"telephone_number": "215-981-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 MARKET ST # 6THF",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043284",
"telephone_number": "215-586-7600",
"fax_number": "215-386-2604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "RAENITA",
"middle_name": "JANAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-08",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103688798001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.