Individual provider Active NPI

Joyce Phyllis Robarge, CPNP

  • Pediatric Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1295055903
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
300351 Issued in NC
Practice address
2000 Pisgah Church Rd
Suite 100
Greensboro, NC 27455-3303
Phone
(336) 288-6165
Fax
(336) 288-6744
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 300351 NC Primary

Addresses

Primary practice location

2000 Pisgah Church Rd
Suite 100
Greensboro, NC 27455-3303

Mailing address

5709 Roundtable Rd
Greensboro, NC 27407-8043
Phone (419) 377-7493

Other identifiers 2

IdentifierTypeStateIssuer
1080492OtherCERTIFIED NURSE LIFE CARE PLANNER(NATIONAL)
77627OtherNATIONAL BOARD OF PEDIATRIC NURSE PRACTITIONERS

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
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
300351NCMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1295055903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 ROUNDTABLE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274078043",
            "telephone_number": "419-377-7493",
            "fax_number": "336-288-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PISGAH CHURCH RD",
            "address_2": "SUITE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553303",
            "telephone_number": "336-288-6165",
            "fax_number": "336-288-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBARGE",
        "first_name": "JOYCE",
        "middle_name": "PHYLLIS",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "300351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED  NURSE LIFE CARE PLANNER(NATIONAL)",
            "identifier": "1080492",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF PEDIATRIC NURSE PRACTITIONERS",
            "identifier": "77627",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.