Active NPI
Frederika Robinson, FNP-BC
- Family Nurse Practitioner
- Pontiac, MI
National Provider Identifier
1245588912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704217559
- Practice address
- 1051 Arlene Ave
Pontiac, MI 48340-2904 - Phone
- (248) 451-7365
- NPI assigned
- Aug 28, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704217559 | MI | Primary |
Addresses
Primary practice location
1051 Arlene Ave
Pontiac, MI 48340-2904
Mailing address
1051 Arlene Ave
Pontiac, MI 48340-2904
Phone (248) 451-7365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17620 Gateway Cir
Southfield, MI 48075-4718
200 Oceangate
Suite 100
Long Beach, CA 90802-4316
4600 Bohannon Dr
Suite 100
Menlo Park, CA 94025-1037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- frobinson9493@direct-prd.molinahealthcare.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1245588912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 ARLENE AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483402904",
"telephone_number": "248-451-7365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 ARLENE AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483402904",
"telephone_number": "248-451-7365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "FREDERIKA",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704217559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.