Active NPI
Myra Nadine Robinson
- Professional Counselor
- Fayetteville, NC
National Provider Identifier
1407185929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7627
- Practice address
- 4441 Bragg Blvd
Fayetteville, NC 28303-3862 - Phone
- (910) 527-8474
- NPI assigned
- Dec 11, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7627 | NC | Primary |
Addresses
Primary practice location
4441 Bragg Blvd
Fayetteville, NC 28303-3862
Mailing address
7017 Bucktail Rd
Fayetteville, NC 28311-9351
Phone (910) 822-6541
Other practice location 1
930 Cambridge, Ste 108
Fayetteville, NC 28304
Phone (910) 988-1024
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 |
|---|---|---|---|
| 7627 | NC | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1407185929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7017 BUCKTAIL RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283119351",
"telephone_number": "910-822-6541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 BRAGG BLVD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283033862",
"telephone_number": "910-527-8474"
}
],
"practiceLocations": [
{
"address_1": "930 Cambridge, Ste 108",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "28304",
"country_code": "US",
"telephone_number": "910-988-1024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "MYRA",
"middle_name": "NADINE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.