Active NPI
Robyn Carberry
- Licensed Practical Nurse
- Blue Ash, OH
National Provider Identifier
1508300443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- ON133621.MEDS-IV
- Practice address
- 4380 Malsbary Rd
Suite B 150
Blue Ash, OH 45242-5644 - Phone
- (513) 793-6444
- NPI assigned
- Dec 12, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | ON133621.MEDS-IV | OH | Primary |
Addresses
Primary practice location
4380 Malsbary Rd
Suite B 150
Blue Ash, OH 45242-5644
Mailing address
4380 Malsbary Rd
Suite B 150
Blue Ash, OH 45242-5644
Phone (513) 793-6444
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 |
|---|---|---|---|
| ON133621.MEDS-IV | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxim Healthcare Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Blue Ash, OH
- NPI 1306800172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1508300443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4380 MALSBARY RD",
"address_2": "SUITE B 150",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452425644",
"telephone_number": "513-793-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4380 MALSBARY RD",
"address_2": "SUITE B 150",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452425644",
"telephone_number": "513-793-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBERRY",
"first_name": "ROBYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-12",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "ON133621.MEDS-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.