Individual provider Active NPI

Robin Johnson, NP

  • Nurse Practitioner
  • Sayre, PA
National Provider Identifier
1578081329
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP018586 Issued in PA
Practice address
1 Guthrie SQ
Sayre, PA 18840
Phone
(570) 887-2848
Fax
(570) 887-2338
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN345082 PA
Nurse Practitioner 363L00000X SP018586 PA Primary

Addresses

Primary practice location

1 Guthrie SQ
Sayre, PA 18840

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Other practice location 1

1 Guthrie Sq
Sayre, PA 18840-1625
Phone (570) 887-2848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180312000318 PA Practitioner - Nurse Practitioner 9931460805 Reassigns benefits to 1 organization
I20180409000267 NY Practitioner - Nurse Practitioner 9931460805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reach Medical PLLCGroup PAC ID 8123381993, 10 clinicians

Practice addresses (Care Compare)

402 N Cayuga St
Ithaca, NY 14850-4291
Phone (607) 273-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
308315NYMDUrology Physician
RN345082PAMDNurse Practitioner
SP018586PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Mar 1, 2018 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Mar 1, 2018 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Mar 1, 2018 Accepting new patients
The Reach Project Inc CurrentSince Nov 1, 2020 Accepting new patients
Reach Medical PLLC CurrentSince Nov 1, 2020 Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

31 Arnot Rd
#A
Horseheads, NY 14845
Phone (607) 739-3874

402 N Cayuga St
Ithaca, NY 14850
Phone (607) 273-5551

1001 W Seneca St
Ithaca, NY 14850
Phone (607) 273-7000

130 E Seneca St
Ste 300
Ithaca, NY 14850

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

317 W Lockhart St
Sayre, PA 18840
Phone (570) 887-3920

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17251/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robin.johnson.1@17251.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1578081329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "18840",
            "telephone_number": "570-887-2848",
            "fax_number": "570-887-2338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Guthrie Sq",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "188401625",
            "country_code": "US",
            "telephone_number": "570-887-2848",
            "fax_number": "570-887-2338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN345082",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, PA

Sources for this page

Verify at the official NPI Registry.