Individual provider Active NPI

Rose Mary Williams Robinson

  • Primary Care Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1033879309
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-10021 Issued in AL
Practice address
4367 Atlanta Hwy Ste C
Montgomery, AL 36109-3171
Phone
(334) 676-2797
NPI assigned
Dec 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-10021 AL Primary

Addresses

Primary practice location

4367 Atlanta Hwy Ste C
Montgomery, AL 36109-3171

Mailing address

3066 Butler Mill Rd
Montgomery, AL 36105-6222
Phone (334) 669-3959

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

LicenseStateTypeSpecialty
1-10021ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Wellness Center of Alabama LLC CurrentSince Jan 2, 2022 Accepting new patients

Locations

4367 Atlanta Hwy
Ste C
Montgomery, AL 36109
Phone (334) 676-2797

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1033879309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 BUTLER MILL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361056222",
            "telephone_number": "334-669-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4367 ATLANTA HWY STE C",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093171",
            "telephone_number": "334-676-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS ROBINSON",
        "first_name": "ROSE",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-10021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.