Shawn Robinson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT0522 Issued in MS

Practice address

10 Pond Dr
Petal, MS 39465-4283

Phone

(601) 606-5736

NPI assigned

Jun 7, 2016

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2016.

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1477902807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 POND DR",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394654283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 POND DR",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394654283",
            "telephone_number": "601-606-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SHAWN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MS",
            "license": "AT0522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R&P Elite Services, LLC
• Ramon M Napier, DMD
• David Ratcliff, R.PH
• Judd M Reynolds, D.O.
• Milton Bradford Reynolds I, DDS
• David Bernard Roy, D.O.
• Sandra G Russell, FNP
• Aaron Rylander, DPT
• Lacey Easterling Saul, R.D
• Coleman Sisson, PHARM. D.

• All providers in Petal, MS
• Athletic Trainer in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.