Active NPI
Stacy Alex Robinson, PA-C
- Physician Assistant
- Guilford, CT
National Provider Identifier
1619153392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000986
- Practice address
- 98 High Meadow Rd
Guilford, CT 06437-2010 - Phone
- (203) 927-8392
- NPI assigned
- Jan 13, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000986 | CT | Primary |
Addresses
Primary practice location
98 High Meadow Rd
Guilford, CT 06437-2010
Mailing address
PO Box 149
Guilford, CT 06437-0149
Phone (203) 927-8392
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000986 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians, 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.
-
dba JHCP - 195 Thomas Johnson Drive
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234742400000",
"number": "1619153392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 149",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064370149",
"telephone_number": "203-927-8392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 HIGH MEADOW RD",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372010",
"telephone_number": "203-927-8392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "STACY",
"middle_name": "ALEX",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-13",
"last_updated": "2009-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "000986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.