Active NPI
Robin Patton
- Driver
- Peoria, IL
National Provider Identifier
1548982887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- P35073764916
- Practice address
- 1421 NE Glendale Ave
Peoria, IL 61603-4109 - Phone
- (309) 339-9528
- NPI assigned
- Sep 14, 2022
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | P35073764916 | IL | Primary |
Addresses
Primary practice location
1421 NE Glendale Ave
Peoria, IL 61603-4109
Mailing address
1421 NE Glendale Ave
Peoria, IL 61603-4109
Phone (309) 339-9528
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Spattonr1@gmail.com |
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 |
|---|---|---|---|
| P35073764916 | IL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1548982887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 NE GLENDALE AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616034109",
"telephone_number": "309-339-9528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 NE GLENDALE AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616034109",
"telephone_number": "309-339-9528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "ROBIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IL",
"license": "P35073764916",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Spattonr1@gmail.com",
"affiliation": "N",
"address_1": "1421 NE Glendale Ave",
"city": "Peoria",
"state": "IL",
"country_code": "US",
"postal_code": "616034109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.