Individual provider Active NPI

Robin Antionette Briscoe

  • Home Health Agency
  • Suitland, MD
National Provider Identifier
1497565634
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NA0000602962 Issued in DC
Practice address
4525 Davis Ave Apt 204
Suitland, MD 20746-5027
Phone
(240) 807-6206
Fax
(240) 807-6206
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
NA0000602962DCMDHome Health Agency

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NA0000602962 DC Primary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X NA0000602962 DC

Addresses

NPPES NPI Registry

Primary practice location

4525 Davis Ave Apt 204
Suitland, MD 20746-5027

Mailing address

4525 Davis Ave Apt 204
Suitland, MD 20746-5027
Phone (240) 807-6206

Other names 1

NPPES NPI Registry
  • Robin Antoinette Dyson Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 9, 2025.

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1497565634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 DAVIS AVE APT 204",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207465027",
            "telephone_number": "240-807-6206",
            "fax_number": "240-807-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 DAVIS AVE APT 204",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207465027",
            "telephone_number": "240-807-6206",
            "fax_number": "240-807-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "ROBIN",
        "middle_name": "ANTIONETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "NA0000602962",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "NA0000602962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "DYSON",
            "middle_name": "ANTOINETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suitland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.