Individual provider Active NPI

Robin R Schuckman, CNP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1043316854
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP06560 Issued in OH
Practice address
7829 Laurel Ave
Cincinnati, OH 45243-2608
Phone
(513) 561-6266
Fax
(513) 561-0149
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP06560 OH Primary

Addresses

Primary practice location

7829 Laurel Ave
Cincinnati, OH 45243-2608

Mailing address

7829 Laurel Ave
Cincinnati, OH 45243-2608
Phone (513) 561-6266

Other identifiers 1

IdentifierTypeStateIssuer
2262788MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070618000469 OH Practitioner - Nurse Practitioner 5092749432 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP06560OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC Nurse Practitioner CurrentSince Jan 1, 2016 Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

7829 Laurel Ave
Cincinnati, OH 45243
Phone (513) 561-6266

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

Organizations & group practices 2

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043316854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7829 LAUREL AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432608",
            "telephone_number": "513-561-6266",
            "fax_number": "513-561-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 LAUREL AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432608",
            "telephone_number": "513-561-6266",
            "fax_number": "513-561-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCKMAN",
        "first_name": "ROBIN",
        "middle_name": "R",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP06560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2262788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.