Individual provider Active NPI

Amanda Robinson, CNA,CHHA,,RCFE,GERO.

  • Administrator Registered Nurse
  • La Mesa, CA
National Provider Identifier
1619200854
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
0000000000000000 Issued in CA
Practice address
4800 Nebo Dr
# 3903
La Mesa, CA 91941-3824
Phone
(619) 871-0521
NPI assigned
Sep 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 0000000000000000 CA Primary

Addresses

Primary practice location

4800 Nebo Dr
# 3903
La Mesa, CA 91941-3824

Mailing address

PO Box 3903
La Mesa, CA 91944
Phone (619) 871-0521

Other names 1

  • Ms. Monda Robinson Former name

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

LicenseStateTypeSpecialty
0000000000000000CAMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1619200854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3903",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91944",
            "telephone_number": "619-871-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NEBO DR",
            "address_2": "# 3903",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413824",
            "telephone_number": "619-871-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "CNA,CHHA,,RCFE,GERO.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "0000000000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONDA",
            "last_name": "ROBINSON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.