Individual provider Active NPI

Angela Maria Robinson

  • Personal Care Attendant
  • Huber Heights, OH
National Provider Identifier
1336760321
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
COSA.180961 Issued in OH
Practice address
4710 Waynedale Cir
Huber Heights, OH 45424-5550
Phone
(937) 329-3563
NPI assigned
Apr 30, 2020
Last updated
Apr 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X IC.180961 OH
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
IC.180961OHMDContractor
COSA.180961OHMDPersonal 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.

Verify at the official NPI Registry.