Individual provider Active NPI

Pearl Lynn Robinson

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1043045016
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
312826 Issued in AZ
Practice address
4585 E Speedway Blvd BLDG B
Tucson, AZ 85712-5309
Phone
(520) 327-4505
NPI assigned
Sep 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN217219 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 312826 AZ Primary

Addresses

Primary practice location

4585 E Speedway Blvd BLDG B
Tucson, AZ 85712-5309

Mailing address

4585 E Speedway Blvd BLDG B
Tucson, AZ 85712-5309
Phone (520) 327-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113002634 AZ Practitioner - Nurse Practitioner 1850825829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Codac Health Recovery and WellnessGroup PAC ID 6103813811, 27 clinicians

Practice addresses (Care Compare)

4585 E Speedway Blvd
Tucson, AZ 85712-5309
Phone (520) 327-4505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Codac Health Recovery and Wellness CurrentSince Nov 1, 2024 Accepting new patients
Codac Health Recovery and Wellness Current Accepting new patients
Codac Health Recovery and Wellness CurrentSince Nov 1, 2024 Accepting new patients

Locations

4585 E Speedway Blvd
Bldg B
Tucson, AZ 85712
Phone (203) 274-5055

1075 E Fort Lowell Rd
Tucson, AZ 85719
Phone (520) 202-1960

4585 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 319-3359

Interoperability endpoints

  • Direct secure messaging: pearl.robinson.p1@direct.codachrw.nextgenshare.com
  • Direct secure messaging: pearl.robinson@mmcodachrw.contexture.medalliesmail.com

Organizations & group practices 3

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": "1725667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1043045016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 E SPEEDWAY BLVD BLDG B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125309",
            "telephone_number": "520-327-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 E SPEEDWAY BLVD BLDG B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125309",
            "telephone_number": "520-327-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "PEARL",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN217219",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "312826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.