Individual provider Active NPI

Robin Janice Jennings-Coads, RN,BSN

  • Registered Nurse
  • Douglasville, GA
National Provider Identifier
1215708383
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN185840 Issued in GA
Practice address
5278 Brookshire CT
Douglasville, GA 30135-5365
Phone
(516) 298-8726
Fax
(678) 909-5299
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN185840 GA Primary

Addresses

Primary practice location

5278 Brookshire CT
Douglasville, GA 30135-5365

Mailing address

5278 Brookshire CT
Douglasville, GA 30135-5365
Phone (516) 298-8726

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN185840GAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1215708383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5278 BROOKSHIRE CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301355365",
            "telephone_number": "516-298-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5278 BROOKSHIRE CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301355365",
            "telephone_number": "516-298-8726",
            "fax_number": "678-909-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS-COADS",
        "first_name": "ROBIN",
        "middle_name": "JANICE",
        "credential": "RN,BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN185840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.