Active NPI
Demetrius Robinson
- Case Manager/Care Coordinator
- Milwaukee, WI
National Provider Identifier
1609243260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 11414 W Park PL Ste 202
Milwaukee, WI 53224-3500 - Phone
- (414) 313-5186
- NPI assigned
- Aug 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Nutrition Education Nutritionist | 133NN1002X |
Addresses
Primary practice location
11414 W Park PL Ste 202
Milwaukee, WI 53224-3500
Mailing address
11414 W Park PL Ste 202
Milwaukee, WI 53224-3500
Phone (414) 313-5186
Other names 1
- Demetrius Robinson
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1609243260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11414 W PARK PL STE 202",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532243500",
"telephone_number": "414-313-5186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11414 W PARK PL STE 202",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532243500",
"telephone_number": "414-313-5186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "DEMETRIUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-28",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEMETRIUS",
"last_name": "ROBINSON",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.