Active NPI
Kenndrea Robinson, CERTIFIED HAIRLOSS S
- Prosthetics Case Management
- Arlington, TX
National Provider Identifier
1457826232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 1494845
- Practice address
- 1901 Southeast Pkwy Ste 106
Arlington, TX 76018-3605 - Phone
- (817) 919-7506
- NPI assigned
- Oct 9, 2018
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 1494845 | TX | Primary |
Addresses
Primary practice location
1901 Southeast Pkwy Ste 106
Arlington, TX 76018-3605
Mailing address
1901 Southeast Pkwy Ste 106
Arlington, TX 76018-3605
Phone (817) 938-0862
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 |
|---|---|---|---|
| 1494845 | TX | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1457826232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 SOUTHEAST PKWY STE 106",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760183605",
"telephone_number": "817-938-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 SOUTHEAST PKWY STE 106",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760183605",
"telephone_number": "817-919-7506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "KENNDREA",
"name_prefix": "Mrs.",
"credential": "CERTIFIED HAIRLOSS S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-09",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "TX",
"license": "1494845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.