Active NPI
Joyce Robinson, PA
- Physician Assistant
- Colchester, CT
National Provider Identifier
1215922836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1109-023
- Practice address
- 163 Broadway St
Colchester, CT 06415 - Phone
- (860) 537-4601
- Fax
- (860) 537-6935
- NPI assigned
- Sep 20, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1109-023 | WI | Primary |
Addresses
Primary practice location
163 Broadway St
Colchester, CT 06415
Mailing address
1290 Silas Deane Hwy Ste 102
Wethersfield, CT 06109-4337
Phone (860) 972-9033
Other practice location 1
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42987600 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1109 | WI | MD | Speech-Language Pathologist |
| 1109-023 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1215922836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 SILAS DEANE HWY STE 102",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094337",
"telephone_number": "860-972-9033",
"fax_number": "860-972-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 BROADWAY ST",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "06415",
"telephone_number": "860-537-4601",
"fax_number": "860-537-6935"
}
],
"practiceLocations": [
{
"address_1": "5000 W Chambers St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532101650",
"country_code": "US",
"telephone_number": "414-447-2171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "JOYCE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1109-023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42987600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.