Active NPI
Brent R Robbins, NP
- Psychiatric/Mental Health Nurse Practitioner
- Charlottesville, VA
National Provider Identifier
1205674983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024190756
- Practice address
- 631 Berkmar Cir
Charlottesville, VA 22901-1464 - Phone
- (434) 400-9668
- Fax
- (434) 465-6018
- NPI assigned
- Jul 17, 2024
- Last updated
- Jul 17, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024190756 | VA | Primary |
Addresses
Primary practice location
631 Berkmar Cir
Charlottesville, VA 22901-1464
Mailing address
13728 Willistown LN
Orange, VA 22960-4689
Phone (409) 719-8713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024190756 | Other | VA | STATE OF VIRGINIA MEDICAL 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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024190756 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1205674983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13728 WILLISTOWN LN",
"city": "ORANGE",
"state": "VA",
"postal_code": "229604689",
"telephone_number": "409-719-8713",
"fax_number": "434-465-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 BERKMAR CIR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011464",
"telephone_number": "434-400-9668",
"fax_number": "434-465-6018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "BRENT",
"middle_name": "R",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024190756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF VIRGINIA MEDICAL LICENSE",
"identifier": "0024190756",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.