Individual provider Active NPI

Theodora Claudette Robinson, NP

  • Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1154884641
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024177089 Issued in VA
Practice address
1954 Opitz Blvd
Woodbridge, VA 22191-3304
Phone
(703) 492-2924
NPI assigned
Apr 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024177089 VA Primary

Addresses

Primary practice location

1954 Opitz Blvd
Woodbridge, VA 22191-3304

Mailing address

4401 Decatur Dr
Woodbridge, VA 22193-1886
Phone (703) 338-9036

Other practice location 1

16712 Jefferson Davis Hwy
Dumfries, VA 22026-2115
Phone (703) 221-7467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190625003280 VA Practitioner - Nurse Practitioner 9032443049 Reassigns benefits to 2 organizations
I20201016000235 DC Practitioner - Nurse Practitioner 9032443049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Washington Healthcare PhysiciansGroup PAC ID 2769546530, 286 clinicians

Practice addresses (Care Compare)

621 Emancipation Hwy
Suite 201
Fredericksburg, VA 22401-4567
Phone (540) 372-2028

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024177089VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Behavioral Health, PC CurrentSince May 1, 2019 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 3, 2023 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 3, 2023 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

1200 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 372-3900

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

621 Emancipation Hwy
Ste 201
Fredericksburg, VA 22401
Phone (540) 372-2028

1954 Opitz Blvd
#7
Woodbridge, VA 22191
Phone (703) 356-9136

Interoperability endpoints

  • Direct secure messaging: trobinson74467@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1154884641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 DECATUR DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931886",
            "telephone_number": "703-338-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913304",
            "telephone_number": "703-492-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16712 Jefferson Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Dumfries",
            "state": "VA",
            "postal_code": "220262115",
            "country_code": "US",
            "telephone_number": "703-221-7467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "THEODORA",
        "middle_name": "CLAUDETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.