Individual provider Active NPI

Carla Lenore Robinson - Prince, LPN

  • Licensed Practical Nurse
  • Portland, OR
National Provider Identifier
1235649393
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
201130140LPN Issued in OR
Practice address
2600 SE Belmont St
Portland, OR 97214-2916
Phone
(503) 239-5738
Fax
(503) 239-8429
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 201130140LPN OR Primary

Addresses

Primary practice location

2600 SE Belmont St
Portland, OR 97214-2916

Mailing address

20270 SW Carlin Blvd
Aloha, OR 97078-4227
Phone (971) 777-0412

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

State licenses

LicenseStateTypeSpecialty
201130140LPNORMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1235649393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20270 SW CARLIN BLVD",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970784227",
            "telephone_number": "971-777-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142916",
            "telephone_number": "503-239-5738",
            "fax_number": "503-239-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON - PRINCE",
        "first_name": "CARLA",
        "middle_name": "LENORE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201130140LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.