Individual provider Active NPI

Angelia Lynetta Wilson-Robinson, RN

  • Emergency Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1487885729
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
595911 Issued in CA
Practice address
4323 Eagle Rock Blvd
Apt 423
Los Angeles, CA 90041-3291
Phone
(323) 219-4936
Fax
(123) 456-7890
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 595911 CA Primary
Emergency Registered Nurse 163WE0003X 144341 GA
Emergency Registered Nurse 163WE0003X 765282 TX

Addresses

Primary practice location

4323 Eagle Rock Blvd
Apt 423
Los Angeles, CA 90041-3291

Mailing address

4323 Eagle Rock Blvd
Apt 423
Los Angeles, CA 90041-3291
Phone (323) 219-4936

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
595911CAMDEmergency Registered Nurse
144341GAMDEmergency Registered Nurse
765282TXMDEmergency Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1487885729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 EAGLE ROCK BLVD",
            "address_2": "APT 423",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413291",
            "telephone_number": "323-219-4936",
            "fax_number": "123-456-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 EAGLE ROCK BLVD",
            "address_2": "APT 423",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413291",
            "telephone_number": "323-219-4936",
            "fax_number": "123-456-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-ROBINSON",
        "first_name": "ANGELIA",
        "middle_name": "LYNETTA",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "595911",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "GA",
            "license": "144341",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "765282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.