Active NPI
Shanda S Robinson
- Counselor
- Philadelphia, PA
National Provider Identifier
1497419980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 8013 Hollis St
Philadelphia, PA 19150-3510 - Phone
- (215) 407-0587
- NPI assigned
- Oct 29, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | PA | Primary |
Addresses
Primary practice location
8013 Hollis St
Philadelphia, PA 19150-3510
Mailing address
8013 Hollis St
Philadelphia, PA 19150-3510
Phone (215) 407-0587
Other names 1
- Miss Shanda S Goodman
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1497419980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8013 HOLLIS ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191503510",
"telephone_number": "215-407-0587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8013 HOLLIS ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191503510",
"telephone_number": "215-407-0587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "SHANDA",
"middle_name": "S",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-29",
"last_updated": "2021-10-29",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANDA",
"last_name": "GOODMAN",
"middle_name": "S",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.