Individual provider Active NPI

Danielle J Robbins, PA

  • Medical Physician Assistant
  • New London, CT
National Provider Identifier
1053419333
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00416 Issued in RI
Practice address
351 N Frontage Rd
New London, CT 06320-2628
Phone
(860) 865-0934
NPI assigned
Sep 20, 2006
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00416 RI Primary

Addresses

Primary practice location

351 N Frontage Rd
New London, CT 06320-2628

Mailing address

2140 Mendon Rd
Cumberland, RI 02864-3843
Phone (401) 475-3000

Other practice location 1

400 Bald Hill Rd
Warwick, RI 02886-1617
Phone (401) 737-4420

Other identifiers 2

IdentifierTypeStateIssuer
4075OtherCTCT LICENSE
PA00416OtherRILICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20081120000655 RI Practitioner - Physician Assistant 5092875096 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

11 Commerce Way
Suite 5
Johnston, RI 02919-4613
Phone (401) 606-2610

1360 W Main Rd
Middletown, RI 02842-6301
Phone (401) 606-3110

17 Airport Rd
Warwick, RI 02889-1001
Phone (401) 606-2520

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4075CTMDDentist
PA00416RIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. Medical CurrentSince Mar 23, 2020 Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Dec 14, 2014 Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Dec 14, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

236 County Rd
Barrington, RI 02806
Phone (401) 245-8855

2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747

1360 W Main Rd
Middletown, RI 02842
Phone (401) 606-3110

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

825 Chalkstone Ave
Ofc
Providence, RI 02908
Phone (401) 456-2525

400 Bald Hill Rd
Warwick, RI 02886
Phone (401) 352-0005

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1053419333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 MENDON RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643843",
            "telephone_number": "401-475-3000",
            "fax_number": "401-475-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N FRONTAGE RD",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202628",
            "telephone_number": "860-865-0934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Bald Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861617",
            "country_code": "US",
            "telephone_number": "401-737-4420",
            "fax_number": "401-737-9934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "DANIELLE",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA00416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "4075",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA00416",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.