Tara Robinson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

11087 Issued in TX

Practice address

1029 Kaylie St
Grand Prairie, TX 75052-7152

Phone

(972) 646-0031

NPI assigned

Feb 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Black Heart Association

  • Community Health Clinic/Center
  • Fort Worth, TX
  • NPI 1720756844
  NPD Authorized official

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1083311385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 KAYLIE ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527152",
            "telephone_number": "972-646-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 KAYLIE ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527152",
            "telephone_number": "972-646-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "11087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Robinson-Frazier
• Brandy Rochelle Robinson, MD
• Brigitte E. Robinson, D.D.S.
• Deterriyon Robinson, PT, DPT
• Fredrick Robinson, NASM
• Edna Itzel Robledo, COTA/L
• Mirian Yamilet Robles, LVN
• Reagan Robles
• Rockland Medical Supply & Equipment Inc
• Rod & Staff Home Healthcare Services Inc

• Community Health Worker in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.