Active NPI
Robin M Herr, CPNP
- Pediatric Nurse Practitioner
- Columbus, OH
National Provider Identifier
1124017983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP02524
- Practice address
- 555 S 18TH St
Columbus, OH 43205-2654 - Phone
- (614) 722-4554
- Fax
- (614) 722-4565
- NPI assigned
- Oct 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN143544 | OH | |
| Pediatric Nurse Practitioner | 363LP0200X | NP02524 | OH | Primary |
Addresses
Primary practice location
555 S 18TH St
Columbus, OH 43205-2654
Mailing address
555 S 18TH St
Columbus, OH 43205-2654
Phone (614) 722-4554
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78012861 | Medicaid | KY | |
| 2517011 | Medicaid | OH |
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP02524 | OH | MD | Pediatric Nurse Practitioner |
| RN143544 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Academic Association, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Columbus, OH
- NPI 1063419943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1124017983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 S 18TH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052654",
"telephone_number": "614-722-4554",
"fax_number": "614-722-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S 18TH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052654",
"telephone_number": "614-722-4554",
"fax_number": "614-722-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERR",
"first_name": "ROBIN",
"middle_name": "M",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "RN143544",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "NP02524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78012861",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2517011",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.