Individual provider Active NPI

Yolanda Yvette Robinson

  • Driver
  • Shreveport, LA
National Provider Identifier
1053987156
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
006406811 Issued in LA
Practice address
2790 Waggoner Ave
Shreveport, LA 71108
Phone
(318) 751-3424
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 006406811 LA Primary

Addresses

Primary practice location

2790 Waggoner Ave
Shreveport, LA 71108

Mailing address

2790 Waggoner Ave
Shreveport, LA 71108
Phone (318) 751-3424

Other identifiers 1

IdentifierTypeStateIssuer
83-0522904MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Yolandar50@strivingrescuellc.com Other

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
006406811LAMDDriver

Interoperability endpoints

  • Direct secure messaging: yolandar50@strivingrescuellc.com

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1053987156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 WAGGONER AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71108",
            "telephone_number": "318-751-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 WAGGONER AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71108",
            "telephone_number": "318-751-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "YOLANDA",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "LA",
            "license": "006406811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83-0522904",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Yolandar50@strivingrescuellc.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Transportation Company",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2790 Waggoner Ave",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711083824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.