Active NPI
Gabriel Enzy Robinson
- Meals Provider
- Pewaukee, WI
National Provider Identifier
1356047476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Meals Provider
- License
- WI035621801698
- Practice address
- 1302 Sunnyridge Rd Apt 2
Pewaukee, WI 53072-3893 - Phone
- (262) 744-5789
- NPI assigned
- Jan 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Meals Provider | 174200000X | WI035621801698 | WI | Primary |
Addresses
Primary practice location
1302 Sunnyridge Rd Apt 2
Pewaukee, WI 53072-3893
Mailing address
1302 Sunnyridge Rd Apt 2
Pewaukee, WI 53072-3893
Phone (262) 744-5789
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 |
|---|---|---|---|
| WI035621801698 | WI | MD | Meals Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1356047476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 SUNNYRIDGE RD APT 2",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530723893",
"telephone_number": "262-744-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 SUNNYRIDGE RD APT 2",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530723893",
"telephone_number": "262-744-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "GABRIEL",
"middle_name": "ENZY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "WI",
"license": "WI035621801698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pewaukee, WI
- Suzanne Remfrey, LMT
- Resonance Counseling for Integrated Healing LLC
- Mary Frank Riordan, M.S. CCC/SLP
- Rising Health Chiropractic Wellness Corp
- Elise Ritter
- Laquadria Symone Robinson, PMHNP-BC
- Katerina Elizabeth Rockwell, M.A., BCBA
- Benjamin Austin Rodrigues, DC
- Danilo B Rodriguez
- Stacey Anne Roebken, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.