Active NPI
Luezarah Robinson
- Licensed Practical Nurse
- Aberdeen, MS
National Provider Identifier
1104924646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- P303655
- Practice address
- 133 E Commerce St
Aberdeen, MS 39730-2709 - Phone
- (662) 813-5151
- Fax
- (662) 813-5152
- NPI assigned
- Sep 20, 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | P303655 | MS | Primary |
Addresses
Primary practice location
133 E Commerce St
Aberdeen, MS 39730-2709
Mailing address
188 Livingston Dr
Sturgis, MS 39769-4528
Phone (662) 617-3277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09328808 | Medicaid | MS | |
| 08575397 | Medicaid | MS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P303655 | MS | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luezarah Robinson Healthcare Services | Current | Accepting new patients | |
| The We Care Committee | Current | Accepting new patients |
Locations
133 E Commerce St
Aberdeen, MS 39730
Phone (662) 694-2604
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 and National Provider Directory roles.
-
- Home Health Agency
- Aberdeen, MS
- NPI 1225136732
-
- Voluntary or Charitable Agency
- Aberdeen, MS
- NPI 1740037613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513209600000",
"number": "1104924646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 LIVINGSTON DR",
"city": "STURGIS",
"state": "MS",
"postal_code": "397694528",
"telephone_number": "662-617-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 E COMMERCE ST",
"city": "ABERDEEN",
"state": "MS",
"postal_code": "397302709",
"telephone_number": "662-813-5151",
"fax_number": "662-813-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "LUEZARAH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2017-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MS",
"license": "P303655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09328808",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08575397",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.