Bernice A Robinson, RN,NU,DT

Primary specialty

NutritionistTaxonomy code 133N00000X

License

BR80170400P Issued in IL

Practice address

16001 Marshfield Ave
Harvey, IL 60426-4920

Phone

(708) 333-6349

Fax

(708) 333-6349

NPI assigned

Jul 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• BR Developmental Agency

  • Early Intervention Provider Agency
  • Harvey, IL
  • NPI 1578928776
  NPD (past) Authorized official

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184821027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604267368",
            "telephone_number": "708-333-6349",
            "fax_number": "708-333-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 MARSHFIELD AVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264920",
            "telephone_number": "708-333-6349",
            "fax_number": "708-333-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "BERNICE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN,NU,DT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": "BR80170400P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourous A Rezaei, MD
• Arlene Jamelle Richardson, M.D.
• Right on Time Transports
• Robert J. Tomchuck DO
• Robinson Developmental Agency
• Celeste Robinson, PT, DPT
• Howard W Robinson
• Monique Shavon Robinson, MR1203P
• Phillip T Robinson
• Shanice Leeann Robinson, MD

• Nutritionist in Harvey, IL
• Providers in Harvey, IL by specialty
• Nutritionist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.