Active NPI
Robin Noki Jean Vinik-Jones, CST/CFA/KCSA/LSA
- Surgical Assistant
- Fort Worth, TX
National Provider Identifier
1033396304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA00343
- Practice address
- 8653 Funtier CT
Fort Worth, TX 76179-2838 - Phone
- (682) 551-8025
- NPI assigned
- Jan 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA00343 | TX | Primary |
| Surgical Assistant | 246ZC0007X | SA190 | KY | |
| Surgical Technologist | 246ZS0410X |
Addresses
Primary practice location
8653 Funtier CT
Fort Worth, TX 76179-2838
Mailing address
8653 Funtier CT
Fort Worth, TX 76179-2838
Phone (682) 551-8025
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA190 | KY | MD | Surgical Assistant |
| SA00343 | TX | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1033396304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8653 FUNTIER CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761792838",
"telephone_number": "682-551-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8653 FUNTIER CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761792838",
"telephone_number": "682-551-8025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINIK-JONES",
"first_name": "ROBIN",
"middle_name": "NOKI JEAN",
"name_prefix": "Ms.",
"credential": "CST/CFA/KCSA/LSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00343",
"primary": true
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "KY",
"license": "SA190",
"primary": false
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.