Individual provider Active NPI

Thomas R Robinson, FNP-BC

  • Family Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1669578779
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
03321 Issued in LA
Practice address
2400 Hospital Dr Ste 370
Bossier City, LA 71111-2391
Phone
(318) 631-9121
Fax
(318) 549-0240
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 03321 LA Primary

Addresses

Primary practice location

2400 Hospital Dr Ste 370
Bossier City, LA 71111-2391

Mailing address

3217 Mabel St
Shreveport, LA 71103-4022
Phone (318) 631-9121

Other identifiers 2

IdentifierTypeStateIssuer
1561592MedicaidLA
AP03321OtherLASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041108000003 LA Practitioner - Nurse Practitioner 2264495662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialists AMCGroup PAC ID 0547245086, 32 clinicians

Practice addresses (Care Compare)

2400 Hospital Dr
Suite 370
Bossier City, LA 71111-2391
Phone (318) 631-9121

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
03321LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winn Community Health Center, Inc. CurrentSince Sep 25, 2024 Accepting new patients
Christus Health Central Louisiana CurrentSince Apr 1, 2022 Accepting new patients
Christus Health Central Louisiana CurrentSince Apr 1, 2022 Accepting new patients
Winn Community Health Center, Inc. CurrentSince Sep 25, 2024 Accepting new patients
Gastrointestinal Specialists, a.M.C. CurrentSince Aug 11, 2009 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Apr 29, 2022 Accepting new patients
Winn Community Health Center, Inc. Current Accepting new patients
Capitol City Family Health Center Incorporated CurrentSince Apr 29, 2022 Accepting new patients

Locations

2200 N Bolton Ave
Alexandria, LA 71303
Phone (318) 693-1311

3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000

2400 Hospital Dr
Ste 370
Bossier City, LA 71111
Phone (318) 212-7902

2400 Hospital Dr
Ste 380
Bossier City, LA 71111
Phone (318) 747-7888

340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700

1633 Marvel St
Coushatta, LA 71019
Phone (318) 932-2081

1635 Marvel St
Coushatta, LA 71019
Phone (318) 932-2000

338 Moreau St
Marksville, LA 71351
Phone (318) 253-5647

9465 Highway 165
Pollock, LA 71467
Phone (318) 310-2070

3265 Military Rd
Ringgold, LA 71068
Phone (318) 894-0220

1140 S Vienna St
Ruston, LA 71270
Phone (318) 224-7190

8001 Youree Dr
Ste 540
Shreveport, LA 71115
Phone (318) 212-3787

8383 Millicent Way
Ste B
Shreveport, LA 71115
Phone (318) 681-4282

8730 Youree Dr
Ste A
Shreveport, LA 71115
Phone (318) 221-2707

8730 Youree Dr
Ste B
Shreveport, LA 71115
Phone (318) 227-9002

8730 Youree Dr
Ste Ab
Shreveport, LA 71115
Phone (318) 408-1505

1800 E 70th St
Shreveport, LA 71105
Phone (318) 798-9400

8730 Youree Dr
Shreveport, LA 71115
Phone (318) 791-6522

3217 Mabel St
Shreveport, LA 71103

431 W Lafayette St
Winnfield, LA 71483
Phone (318) 209-4510

Interoperability endpoints

  • Direct secure messaging: thomas.robinson@gis.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1669578779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 MABEL ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034022",
            "telephone_number": "318-631-9121",
            "fax_number": "318-631-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR STE 370",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112391",
            "telephone_number": "318-631-9121",
            "fax_number": "318-549-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "03321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1561592",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AP03321",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.