Active NPI
Thomas Robinson, RN
- Flight Registered Nurse
- Fort Detrick, MD
National Provider Identifier
1194909317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Flight Registered Nurse
- License
- 88592
- Practice address
- 1425 Porter Street
Fort Detrick, MD 21702-5011 - Phone
- (301) 319-4846
- NPI assigned
- Dec 24, 2007
- Last updated
- Dec 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Flight Registered Nurse | 163WF0300X | 88592 | SC | Primary |
Addresses
Primary practice location
1425 Porter Street
Fort Detrick, MD 21702-5011
Mailing address
1425 Porter St.
Fort Detrick, MD 21702-5011
Phone (301) 319-4846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88592 | Other | SC | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88592 | SC | MD | Flight Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198454400000",
"number": "1194909317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 PORTER ST.",
"city": "FORT DETRICK",
"state": "MD",
"postal_code": "217025011",
"telephone_number": "301-319-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTER STREET",
"city": "FORT DETRICK",
"state": "MD",
"postal_code": "217025011",
"telephone_number": "301-319-4846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "THOMAS",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WF0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Flight",
"state": "SC",
"license": "88592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "88592",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Detrick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.