Active NPI
Angela Maria Robinson
- Personal Care Attendant
- Huber Heights, OH
National Provider Identifier
1336760321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- COSA.180961
- Practice address
- 4710 Waynedale Cir
Huber Heights, OH 45424-5550 - Phone
- (937) 329-3563
- NPI assigned
- Apr 30, 2020
- Last updated
- Apr 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | IC.180961 | OH | |
| Personal Care Attendant | 3747P1801X | COSA.180961 | OH | Primary |
Addresses
Primary practice location
4710 Waynedale Cir
Huber Heights, OH 45424-5550
Mailing address
4710 Waynedale Cir
Huber Heights, OH 45424-5550
Phone (937) 329-3563
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
| License | State | Type | Specialty |
|---|---|---|---|
| IC.180961 | OH | MD | Contractor |
| COSA.180961 | OH | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1336760321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 WAYNEDALE CIR",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454245550",
"telephone_number": "937-329-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 WAYNEDALE CIR",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454245550",
"telephone_number": "937-329-3563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "ANGELA",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-30",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor",
"state": "OH",
"license": "IC.180961",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": "COSA.180961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.