Individual provider Active NPI

Jennifer Robb, NP

  • Family Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1093151136
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18402-NP Issued in OH
Practice address
10 Office Park Dr Ste a
Hamilton, OH 45013-1585
Phone
(513) 690-2078
Fax
(513) 880-0540
NPI assigned
May 16, 2013
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71004540A IN
Family Nurse Practitioner 363LF0000X 0024183897 VA
Family Nurse Practitioner 363LF0000X COA.18402-NP OH Primary
Registered Nurse 163W00000X 28172208A IN
Registered Nurse 163W00000X RN.420665-1 OH
Registered Nurse 163W00000X 0001309564 VA

Addresses

Primary practice location

10 Office Park Dr Ste a
Hamilton, OH 45013-1585

Mailing address

10 Office Park Dr Ste a
Hamilton, OH 45013-1585
Phone (513) 690-2078

Other identifiers 2

IdentifierTypeStateIssuer
000000829255OtherINANTHEM PROVIDER NUMBER
201183290MedicaidIN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201005002107 OH Order and Referring Only - General PracticePractitioner - General Practice 1456586411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28172208AINMDRegistered Nurse
RN.420665-1OHMDRegistered Nurse
0001309564VAMDRegistered Nurse
COA.18402-NPOHMDFamily Nurse Practitioner
0024183897VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pri-Med Exams, LLC Nurse Practitioner Current Accepting new patients
Eon Care Services, LLC Nurse Practitioner Past Accepting new patients

Locations

10 Office Park Dr
Ste A
Hamilton, OH 45013
Phone (513) 524-1100

Interoperability endpoints

  • Direct secure messaging: jrobb301618@ecommunitydirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1093151136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OFFICE PARK DR STE A",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131585",
            "telephone_number": "513-690-2078",
            "fax_number": "513-880-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OFFICE PARK DR STE A",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131585",
            "telephone_number": "513-690-2078",
            "fax_number": "513-880-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004540A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183897",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18402-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28172208A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.420665-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001309564",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000829255",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201183290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.