Angela M Robison, W000105223

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

THW000105223 Issued in OR

Practice address

63140 Britta St Ste D104
Bend, OR 97703-5738

Phone

(888) 237-7778

NPI assigned

Feb 2, 2022

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 1

Other names 1

• Ms. Angela M Bindrim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1114670783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63140 BRITTA ST STE D104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035738",
            "telephone_number": "888-237-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63140 BRITTA ST STE D104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035738",
            "telephone_number": "888-237-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "W000105223",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "THW000105223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000105223",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BINDRIM",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "W000105223",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda K Robinson, RDH W LIMITED ACESS
• Michelle Robinson
• Paige Robinson, LMT, NCBTMB
• Sarah Kae Robinson, L.M.T.
• Wade Louis Robirts, DT DO
• Aleksander Stewart Robles, MD
• Vivian G Rockwell, D.C.
• Rod Wigle M.D., LLC
• Rode Physical Therapy
• Brenda Renee Rode, DPT

• Community Health Worker in Bend, OR
• Providers in Bend, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.