Kasandra Jalisha Robinson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

332967 Issued in NY

Practice address

56 Perry St
Auburn, NY 13021-2854

Phone

(315) 209-0266

NPI assigned

Jun 14, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1184354086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 PERRY ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212854",
            "telephone_number": "315-209-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 PERRY ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212854",
            "telephone_number": "315-209-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KASANDRA",
        "middle_name": "JALISHA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "332967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332967",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mail",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "N/A",
            "address_1": "56 Perry St",
            "city": "Auburn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130212854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Ann Riester
• Carole J Rigby, SLP
• Abigail J. Riggall, LCSW
• Sultan Ripon, MD
• Rite Aid of New York Inc (Rite Aid Pharmacy 00607)
• Sandra L Robinson, LPN
• Teresa M Roche-McKeen, R.N.
• Kaitlyn Roden, PHARM D
• Danielle Rodriguez, P.T., D.P.T.
• Roger W Tinsley MD PC

• Licensed Practical Nurse in Auburn, NY
• Providers in Auburn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.