Active NPI
Robin D Estrada
- Pediatric Nurse Practitioner
- Lancaster, SC
National Provider Identifier
1215104351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 607
- Practice address
- 1228 Colonial Commons CT Ste 231
Lancaster, SC 29720-2200 - Phone
- (803) 289-5437
- Fax
- (803) 289-5440
- NPI assigned
- May 8, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 607 | SC | Primary |
Addresses
Primary practice location
1228 Colonial Commons CT Ste 231
Lancaster, SC 29720-2200
Mailing address
1228 Colonial Commons CT Ste 231
Lancaster, SC 29720-2200
Phone (803) 289-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4668 | Medicaid | SC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lung Center LLC | Past | Accepting new patients | |
| The Children'S Clinic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Lancaster, SC
- NPI 1811908536
-
- Clinic/Center
- Lancaster, SC
- NPI 1184841942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1215104351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1228 COLONIAL COMMONS CT STE 231",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202200",
"telephone_number": "803-289-5437",
"fax_number": "803-289-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 COLONIAL COMMONS CT STE 231",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202200",
"telephone_number": "803-289-5437",
"fax_number": "803-289-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "ROBIN",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-08",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4668",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.