Active NPI
Denise Alicia Robinson, FNP
- Family Nurse Practitioner
- Stamford, CT
National Provider Identifier
1366036568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9577
- Practice address
- 1281 E Main St
Stamford, CT 06902-3544 - Phone
- (203) 210-2830
- Fax
- (203) 210-2831
- NPI assigned
- Feb 28, 2021
- Last updated
- Aug 19, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 347275 | NY | |
| Family Nurse Practitioner | 363LF0000X | 9577 | CT | Primary |
Addresses
Primary practice location
1281 E Main St
Stamford, CT 06902-3544
Mailing address
800 Westchester Ave Ste N715
Rye Brook, NY 10573-1369
Phone (914) 607-5730
Other names 1
- Denise Alicia Livermore
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 |
|---|---|---|---|
| 9577 | CT | MD | Massage Therapist |
| 347275 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1366036568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WESTCHESTER AVE STE N715",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "105731369",
"telephone_number": "914-607-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1281 E MAIN ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069023544",
"telephone_number": "203-210-2830",
"fax_number": "203-210-2831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "DENISE",
"middle_name": "ALICIA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-28",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "347275",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "9577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "LIVERMORE",
"middle_name": "ALICIA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.