Robin Renee Presley, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA1068 Issued in KY

Practice address

613 23Rd St Ste G30
Ashland, KY 41101-2881

Phone

(606) 408-5864

Fax

(606) 408-6499

NPI assigned

Aug 22, 2007

Last updated

Nov 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Northeastern Kentucky Surgeons, PSC

  • Surgery Physician
  • Ashland, KY
  • NPI 1770568578
  NPD (past)
• Ashland Hospital Corporation

  dba Kings Daughters Medical Center Jackson Medical Specialties

  • Rural Health Clinic/Center
  • Jackson, OH
  • NPI 1356434773
  NPD (past)

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1124211107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE G30",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012881",
            "telephone_number": "606-408-5864",
            "fax_number": "606-408-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "ROBIN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA1068",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.004545",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068850",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100158990",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Preece, CSW
• Taylor D Preece, PT
• Premier Therapy & Health Centers, Inc.
• Premier Therapy & Health Centers, Inc.
• Premier Therapy & Health Centers, Inc.
• Bobbi J Preston, PT
• Chase Preston
• Charles Warren Price III, MD
• Bridget Prichard
• Hunter Shane Prince, DMD

• Surgical Physician Assistant in Ashland, KY
• Providers in Ashland, KY by specialty
• Surgical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.