Kerry Ann Ellington Robinson

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

163 NW Doreen St
Port Saint Lucie, FL 34983-1533

Phone

(857) 222-0249

NPI assigned

Nov 15, 2024

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

Practice roles

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.

• Majestic Blue Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Port Saint Lucie, FL
  • NPI 1912721879
  NPD Authorized official

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1205650223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 NW DOREEN ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 NW DOREEN ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831533",
            "telephone_number": "857-222-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON ROBINSON",
        "first_name": "KERRY ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Margaret Edwards
• Katie Anne Morris Eisnaugle, FNP-C, PMHNP-BC
• Austin Allen Ekonomou
• Elite Health and Wellness Center LLC
• Elite Medical Providers LLC
• Kimberly Ellis, D.O.
• Kimberly M Ellis, MS, MPH, RD, LD/N
• Kimberly Tonine Ellis, LCSW
• Elyon World Assisted Living LLC
• Emerald Wellness & Aesthetics LLC

• Developmentally Disabled Services Day Training Agency in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.