Patricia Ann Kendrick-Robinson, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

14314 Issued in AL

Practice address

1107 Voeglin Ave
Suite 202
Selma, AL 36703-4301

Phone

(334) 874-4843

Fax

(334) 874-9598

NPI assigned

Nov 6, 2006

Last updated

Apr 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJACCA

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.

• Pediatric Adolescent Medicine, Inc.

  • Pediatric Adolescent Medicine Physician
  • Selma, AL
  • NPI 1902975899
  NPD (past) Authorized official
• Vaughan Regional Medical Center LLC

  dba Vaughan Regional Medical Center

  • Rural Acute Care Hospital
  • Selma, AL
  • NPI 1871655993
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1073692232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MEDICAL CENTER PKWY",
            "address_2": "SUITE A",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016702",
            "telephone_number": "334-874-4843",
            "fax_number": "334-874-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 VOEGLIN AVE",
            "address_2": "SUITE 202",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367034301",
            "telephone_number": "334-874-4843",
            "fax_number": "334-874-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK-ROBINSON",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AL",
            "license": "14314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529913320",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009909225",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51500362",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ladonnaa Renee Jordon
• Joseph H Carstarphen (Interlink Drug Company)
• Julie R. Sams, DMD, LLC
• Saima Kanwal, MD
• Theresa Kemp
• Deborah Jenkins Kidd, FNP
• Kiddie Kastle Inc. (Horizon Group Home)
• Anetrial G. King, FNP-C
• Clarissa Renea King, MSN APRN FNP-C
• Mary Chelimo Kipchumba, CRNP

• Pediatric Adolescent Medicine Physician in Selma, AL
• Providers in Selma, AL by specialty
• Pediatric Adolescent Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.