Active NPI
Robin J James, REGISTERED NURSE
- Medical-Surgical Registered Nurse
- Santa Rosa, CA
National Provider Identifier
1457021818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- A1552930
- Practice address
- 2225 Challenger Way
Santa Rosa, CA 95407-5441 - Phone
- (707) 565-4935
- Fax
- (707) 565-5183
- NPI assigned
- Sep 16, 2021
- 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 |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | A1552930 | CA | Primary |
Addresses
Primary practice location
2225 Challenger Way
Santa Rosa, CA 95407-5441
Mailing address
2225 Challenger Way
Santa Rosa, CA 95407-5441
Phone (707) 565-4101
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://sonoma.netsmartcloud.com/radplus/index.jsp | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| A1552930 | CA | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1457021818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 CHALLENGER WAY",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954075441",
"telephone_number": "707-565-4101",
"fax_number": "707-565-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 CHALLENGER WAY",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954075441",
"telephone_number": "707-565-4935",
"fax_number": "707-565-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "ROBIN",
"middle_name": "J",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "CA",
"license": "A1552930",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://sonoma.netsmartcloud.com/radplus/index.jsp",
"affiliation": "N",
"endpointDescription": "Avatar",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2225 Challenger Way",
"city": "Santa Rosa",
"state": "CA",
"country_code": "US",
"postal_code": "954075441",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.