Active NPI
Damitri Meshae Robinson, MSN, SRNA, CNL, CCRN
- Registered Nurse
- San Diego, CA
National Provider Identifier
1619738747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001290958
- Practice address
- 7676 Hazard Center Dr Ste 500
San Diego, CA 92108-4508 - Phone
- (800) 585-1299
- NPI assigned
- Jan 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001290958 | VA | Primary |
Addresses
Primary practice location
7676 Hazard Center Dr Ste 500
San Diego, CA 92108-4508
Mailing address
335 Blueberry Point Road
P. O. Box 1027
White Stone, VA 22578
Phone (804) 436-7709
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001290958 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1619738747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 BLUEBERRY POINT ROAD",
"address_2": "P. O. BOX 1027",
"city": "WHITE STONE",
"state": "VA",
"postal_code": "22578",
"telephone_number": "804-436-7709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7676 HAZARD CENTER DR STE 500",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084508",
"telephone_number": "800-585-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "DAMITRI",
"middle_name": "MESHAE",
"credential": "MSN, SRNA, CNL, CCRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001290958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.