Active NPI
Tabetha Robinson, RN-BSN
- Registered Nurse
- Seneca, SC
National Provider Identifier
1619322385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 205626
- Practice address
- 415 E North 5TH St
Seneca, SC 29678-2701 - Phone
- (864) 324-2853
- NPI assigned
- Apr 29, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 205626 | SC | Primary |
| Case Management Registered Nurse | 163WC0400X | 205656 | SC | |
| Community Health Registered Nurse | 163WC1500X | 205656 | SC |
Addresses
Primary practice location
415 E North 5TH St
Seneca, SC 29678-2701
Mailing address
415 E North 5TH St
Seneca, SC 29678-2701
Phone (864) 324-2853
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205626 | SC | MD | Registered Nurse |
| 205656 | SC | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keeping Familly Home | 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.
-
- Case Management Agency
- Seneca, SC
- NPI 1568910313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1619322385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E NORTH 5TH ST",
"city": "SENECA",
"state": "SC",
"postal_code": "296782701",
"telephone_number": "864-324-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E NORTH 5TH ST",
"city": "SENECA",
"state": "SC",
"postal_code": "296782701",
"telephone_number": "864-324-2853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "TABETHA",
"credential": "RN-BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-29",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "205626",
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "SC",
"license": "205656",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "205656",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.