Individual provider Active NPI

Ashley Nicole Robinson, PCC

  • Home Delivered Meals
  • Virginia Beach, VA
National Provider Identifier
1376115204
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Practice address
5321 Justin CT Apt 101
Virginia Beach, VA 23462-1352
Phone
(757) 892-0847
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

5321 Justin CT Apt 101
Virginia Beach, VA 23462-1352

Mailing address

28 Bentley Avenue
Jersey City, NJ 07304
Phone (201) 589-4391

Other identifiers 1

IdentifierTypeStateIssuer
6N26-PU1-WF55MedicaidVA

Other names 1

  • Ms. Ashley Nicole Robinson Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Https://girlsinrecoveryllc2021.simdif.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Girls in Recovery CurrentSince Jul 20, 2021 Accepting new patients
Goal Succeeders Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1376115204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BENTLEY AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07304",
            "telephone_number": "201-589-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 JUSTIN CT APT 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621352",
            "telephone_number": "757-892-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6N26-PU1-WF55",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Https://girlsinrecoveryllc2021.simdif.com",
            "affiliation": "N",
            "endpointDescription": "Chat",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "5321 Justin Ct Apt 101",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234621352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "ROBINSON",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "PCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.