Individual provider Active NPI

Robin Lynn Cassidy, APRN

  • Nurse Practitioner
  • Apex, NC
National Provider Identifier
1215968789
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
900471 Issued in NC
Practice address
1011 W Williams St Ste 106
Apex, NC 27502-3979
Phone
(919) 386-0402
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 900471 NC Primary
Adult Health Nurse Practitioner 363LA2200X 180071 NC

Addresses

Primary practice location

1011 W Williams St Ste 106
Apex, NC 27502-3979

Mailing address

1011 W Williams St Ste 106
Apex, NC 27502-3979
Phone (919) 386-0402

Other practice location 1

1055 Dresser Ct
Raleigh, NC 27609-7323
Phone (919) 876-3130

Other practice location 2

3610 Bush St
Raleigh, NC 27609
Phone (919) 876-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000646 NC Practitioner - Nurse Practitioner 7517139413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Max Psychiatry PCGroup PAC ID 9931365343, 5 clinicians

Practice addresses (Care Compare)

1011 W Williams St
Suite 106
Apex, NC 27502-3979
Phone (919) 386-0402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
900471NCMDNurse Practitioner
180071NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Max Psychiatry PC CurrentSince Sep 18, 2020 Accepting new patients
Carolina Partners in Mental PastSince Aug 18, 2011 Accepting new patients

Locations

1011 W Williams St
Ste 106
Apex, NC 27502
Phone (919) 386-0402

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1215968789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W WILLIAMS ST STE 106",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023979",
            "telephone_number": "919-386-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W WILLIAMS ST STE 106",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023979",
            "telephone_number": "919-386-0402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Dresser Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097323",
            "country_code": "US",
            "telephone_number": "919-876-3130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3610 Bush St",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27609",
            "country_code": "US",
            "telephone_number": "919-876-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "900471",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "180071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.