Active NPI
Robin Dollar St Pierre, CRNP
- Pediatric Nurse Practitioner
- Athens, AL
National Provider Identifier
1669622320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-115356
- Practice address
- 22136 Medical Village Drive
Athens, AL 35613 - Phone
- (256) 997-5900
- NPI assigned
- Sep 30, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP05789 | LA | |
| Pediatric Nurse Practitioner | 363LP0200X | 1-115356 | AL | Primary |
Addresses
Primary practice location
22136 Medical Village Drive
Athens, AL 35613
Mailing address
22136 Medical Village Drive
Athens, AL 35613
Phone (256) 648-5598
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-115356 | AL | MD | Pediatric Nurse Practitioner |
| AP05789 | LA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Pediatrics LLC | Current | Accepting new patients |
Locations
22136 Medical Village Dr
Athens, AL 35613
Phone (256) 648-5598
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.
-
- Pediatrics Physician
- Athens, AL
- NPI 1669091120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1669622320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22136 MEDICAL VILLAGE DRIVE",
"city": "ATHENS",
"state": "AL",
"postal_code": "35613",
"telephone_number": "256-648-5598",
"fax_number": "833-603-1295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22136 MEDICAL VILLAGE DRIVE",
"city": "ATHENS",
"state": "AL",
"postal_code": "35613",
"telephone_number": "256-997-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST PIERRE",
"first_name": "ROBIN",
"middle_name": "DOLLAR",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "AP05789",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-115356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.