Active NPI
Laquadria Symone Robinson, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Pewaukee, WI
National Provider Identifier
1619487626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 8049-33
- Practice address
- 1001 Cecelia Dr Ste 200
Pewaukee, WI 53072-2546 - Phone
- (262) 260-9000
- NPI assigned
- Oct 4, 2017
- Last updated
- Oct 4, 2017
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 8049-33 | WI | Primary |
Addresses
Primary practice location
1001 Cecelia Dr Ste 200
Pewaukee, WI 53072-2546
Mailing address
2886 County Rd
Alexander City, AL 35010-3853
Phone (205) 641-4210
Other names 1
- Laquadria S 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8049-33 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valdez & Soto, LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Interoperability endpoints
- lrobinson342496@direct.ochin.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Alay Health Team
- Psychiatric/Mental Health Nurse Practitioner
- Pewaukee, WI
- NPI 1114377702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1619487626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2886 COUNTY RD",
"city": "ALEXANDER CITY",
"state": "AL",
"postal_code": "350103853",
"telephone_number": "205-641-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CECELIA DR STE 200",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530722546",
"telephone_number": "262-260-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "LAQUADRIA",
"middle_name": "SYMONE",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "8049-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAQUADRIA",
"last_name": "ROBINSON",
"middle_name": "S",
"credential": "PMHNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pewaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.