Active NPI
Robin Marr, ANP-BC
- Adult Health Nurse Practitioner
- Ravenna, OH
National Provider Identifier
1356624118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- COA 12302-NP
- Practice address
- 6847 N. Chestnut Street
Suite 310
Ravenna, OH 44266 - Phone
- (330) 296-2819
- Fax
- (330) 296-9503
- NPI assigned
- Sep 27, 2011
- Last updated
- Sep 10, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | COA 12302-NP | OH | Primary |
Addresses
Primary practice location
6847 N. Chestnut Street
Suite 310
Ravenna, OH 44266
Mailing address
2790 Silver Fox Dr. SW
Warren, OH 44481-9236
Phone (330) 824-3296
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN-193331 | Other | OH | RN LICENSE |
| COA-12302-NP | Other | OH | COA NP |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA 12302-NP | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospitalist, LLC | Past | Accepting new patients | |
| Patriot Homecare, Inc. | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of Ashtabula County, LTD | Past | Accepting new patients | |
| Robinson Memorial Portage County Hospital | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Chardon, OH
- NPI 1093741662
-
- Internal Medicine Physician
- Ashtabula, OH
- NPI 1669523726
-
- Home Health Agency
- Girard, OH
- NPI 1598061418
-
- Home Health Agency
- Ravenna, OH
- NPI 1962425751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1356624118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2790 SILVER FOX DR. SW",
"city": "WARREN",
"state": "OH",
"postal_code": "444819236",
"telephone_number": "330-824-3296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6847 N. CHESTNUT STREET",
"address_2": "SUITE 310",
"city": "RAVENNA",
"state": "OH",
"postal_code": "44266",
"telephone_number": "330-296-2819",
"fax_number": "330-296-9503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARR",
"first_name": "ROBIN",
"credential": "ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-27",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "COA 12302-NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN-193331",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COA NP",
"identifier": "COA-12302-NP",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.