Active NPI
Amanda Brooke Robbins
- Family Nurse Practitioner
- Columbus, OH
National Provider Identifier
1710306717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP.15908
- Practice address
- 3525 Olentangy River Rd
Columbus, OH 43214-3937 - Phone
- (614) 566-1997
- NPI assigned
- Apr 8, 2014
- Last updated
- Sep 2, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP.15908 | OH | Primary |
Addresses
Primary practice location
3525 Olentangy River Rd
Columbus, OH 43214-3937
Mailing address
505 N Samuel Dr
Zanesville, OH 43701-1518
Phone (740) 704-5738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230210000791 | OH | Order and Referring Only - Nurse Practitioner | 5991920167 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP.15908 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1710306717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N SAMUEL DR",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011518",
"telephone_number": "740-704-5738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 OLENTANGY RIVER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143937",
"telephone_number": "614-566-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "AMANDA",
"middle_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "CNP.15908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.