Active NPI
Mary Jo Robbins, FNP
- Family Nurse Practitioner
- Sneedville, TN
National Provider Identifier
1407884547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN005259
- Practice address
- 375-C Court Street
Sneedville, TN 37869-0516 - Phone
- (423) 733-2121
- Fax
- (423) 733-4563
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN005259 | TN | Primary |
Addresses
Primary practice location
375-C Court Street
Sneedville, TN 37869-0516
Mailing address
PO Box 70403
Johnson City, TN 37614-1703
Phone (423) 439-4078
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4046507 | Other | TN | BLUECROSSBLUESHIELD |
| 3901058 | Medicaid | TN | |
| TN01J5 | Other | TN | JOHN DEERE |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN005259 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1407884547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70403",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376141703",
"telephone_number": "423-439-4078",
"fax_number": "423-439-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375-C COURT STREET",
"city": "SNEEDVILLE",
"state": "TN",
"postal_code": "378690516",
"telephone_number": "423-733-2121",
"fax_number": "423-733-4563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "MARY JO",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN005259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "4046507",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3901058",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "TN01J5",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sneedville, TN
- Brittaney Parker, PHARMD
- Kristy Lynn Pettiecord, PTA
- Linda Louise Purkey, NURSEAIDE2
- Sarah G Ramsey, PHARMD
- Kandi Sunshine Reece, FNP
- Rural Health Services Consortium of Upper East Tennessee Inc
- Rural Health Services Consortium of Upper East Tennessee Inc
- Steven Schwartz, L.AC, L.MT
- Matthew Seal, PHARMD
- Nancy P. Seal, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.