Robbie Wilson Communitity Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

34D2008287 Issued in NC

Legal business name

ROBBIE WILSON COMMUNITITY SERVICES

Practice address

1001 S Marshall St Ste 53
Winston Salem, NC 27101-5858

Phone

(336) 473-9933

NPI assigned

Jul 16, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Eyvette Lachelle AbbottNPI 1811109549

Title

Ceo

Phone

(336) 473-9933

Specialties & licenses 1

Addresses

Tax ID family

Robbie Wilson Communitity Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Robbie Wilson Community Service Inc

  • Adult Companion
  • Winston Salem, NC
  • NPI 1003148388
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eyvette La'Chella Abbott

  • Addiction (Substance Use Disorder) Counselor
  • Winston Salem, NC
  • NPI 1811109549
  NPD Authorized official

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1144533456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 N GLENN AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271053824",
            "telephone_number": "336-473-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MARSHALL ST STE 53",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015858",
            "telephone_number": "336-473-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBIE WILSON COMMUNITITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "EYVETTE",
        "authorized_official_middle_name": "LACHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-473-9933",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D2008287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Roach
• John G Roach III, MD
• Nicola Roach
• Dana Roark, RPH, PHARMD
• Gwendolyn Daly Roarke, CRNA
• Robbie Wilson Community Service Inc
• Cora Robbins, NP
• Erica Russell Robbins, NP
• Gregory Thomas Robbins, MD
• John Jay Robbins, P.A.

• Clinical Medical Laboratory in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Medical Laboratory in North Carolina

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