Active NPI
Cassandra Denise Robinson, ATC
- Athletic Trainer
- Saint Clair Shores, MI
National Provider Identifier
1104916501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 20952 E 12 Mile Rd
Suite 110
Saint Clair Shores, MI 48081-3200 - Phone
- (586) 498-3503
- NPI assigned
- Oct 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
20952 E 12 Mile Rd
Suite 110
Saint Clair Shores, MI 48081-3200
Mailing address
24624 Lake Meadow Dr
Harrison Township, MI 48045-3126
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104916501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24624 LAKE MEADOW DR",
"city": "HARRISON TOWNSHIP",
"state": "MI",
"postal_code": "480453126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20952 E 12 MILE RD",
"address_2": "SUITE 110",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480813200",
"telephone_number": "586-498-3503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "CASSANDRA",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.