Active NPI
Marcella Robinson, LAC, LMT
- Acupuncturist
- Poughkeepsie, NY
National Provider Identifier
1497995567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1418
- Practice address
- 2 Lagrange Ave
Suite 201
Poughkeepsie, NY 12603-8911 - Phone
- (917) 232-3949
- NPI assigned
- Mar 2, 2009
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | |||
| Acupuncturist | 171100000X | AP2503 | FL | |
| Acupuncturist | 171100000X | 1418 | NY | Primary |
| Mechanotherapist | 172M00000X | 52483 | FL | |
| Mechanotherapist | 172M00000X | 011658 | NY |
Addresses
Primary practice location
2 Lagrange Ave
Suite 201
Poughkeepsie, NY 12603-8911
Mailing address
68 Gerald Dr Apt F2
Poughkeepsie, NY 12601-2923
Phone (917) 232-3949
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497995567 | Medicaid | NY | |
| 050892600 | Medicaid | FL | |
| 89368 | Other | FL | BCBS |
| 1497995567 | Other | NY | BCBS |
| 1497995567 | Other | BCBS |
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 |
|---|---|---|---|
| AP2503 | FL | MD | Acupuncturist |
| 1418 | NY | MD | Acupuncturist |
| 52483 | FL | MD | Mechanotherapist |
| 011658 | NY | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1497995567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 GERALD DR APT F2",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126012923",
"telephone_number": "917-232-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 LAGRANGE AVE",
"address_2": "SUITE 201",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126038911",
"telephone_number": "917-232-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "MARCELLA",
"name_prefix": "Ms.",
"credential": "LAC, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2503",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "1418",
"primary": true
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "52483",
"primary": false
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NY",
"license": "011658",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497995567",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050892600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89368",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1497995567",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1497995567",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.