Active NPI
Kelley Nicole Robinson, CNM
- Advanced Practice Midwife
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R174632
- Practice address
- 520 Upper Chesapeake Drive
Suite 301
Bel Air, MD 21014 - Phone
- (410) 939-3121
- Fax
- (410) 939-8278
- NPI assigned
- Jun 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 000251 | CT | |
| Advanced Practice Midwife | 367A00000X | R174632 | MD | Primary |
Addresses
Primary practice location
520 Upper Chesapeake Drive
Suite 301
Bel Air, MD 21014
Mailing address
P.O. Box 420
Haure de Grace, MD 21078
Phone (410) 939-3121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004240941 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2000 Medical Pkwy
Suite 409
Annapolis, MD 21401-3746
PO Box
Suite 778
Easton, MD 21601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000251 | CT | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Past | Accepting new patients |
Locations
2003 Medical Pkwy
Ste G50
Annapolis, MD 21401
Phone (410) 573-1094
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
7501 Greenway Center Dr
Ste 910
Greenbelt, MD 20770
Phone (301) 982-0657
Interoperability endpoints
- krobinson185100@direct.aahs.org
Organizations & group practices 5
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.
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- NPI 1073580205
-
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- NPI 1598598245
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1477862308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1346280476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 420",
"city": "HAURE DE GRACE",
"state": "MD",
"postal_code": "21078",
"telephone_number": "410-939-3121",
"fax_number": "410-939-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 UPPER CHESAPEAKE DRIVE",
"address_2": "SUITE 301",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21014",
"telephone_number": "410-939-3121",
"fax_number": "410-939-8278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "KELLEY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CT",
"license": "000251",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MD",
"license": "R174632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004240941",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.