Jennifer Robb, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

678245 Issued in TX

Practice address

1020 E Idel St
Tyler, TX 75701-2024

Phone

(903) 535-2902

NPI assigned

Sep 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: jrobb41968@direct.phhs.org
• Direct secure messaging: jennifer.robb.1@19060.direct.athenahealth.com

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1386993392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 MEADOWLAND CT",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757076281",
            "telephone_number": "903-581-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E IDEL ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012024",
            "telephone_number": "903-535-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "JENNIFER",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "678245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra F Roach, PHARM D.
• Lameshia Roach
• Michael Dean Roach
• Michael Justin Roach
• Tamara Roach
• Mark Richard Robbins, M.D.
• Robby Jennings Dental (Tyler Family Dental)
• Robby Jennings Dentistry (Shiloh Family Dental PLLC)
• Robby Jennings Dentistry PLLC (Shiloh Family Dental)
• Roberson Chiropractic PLLC (Kayak Chiropractic)

• Acute Care Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.