Active NPI
Abby Mae Robinson
- Homemaker
- Clyde, OH
National Provider Identifier
1720795966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- SY547745
- Practice address
- 510 S Church St
Clyde, OH 43410-2118 - Phone
- (419) 552-4694
- NPI assigned
- Oct 27, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | SY547745 | OH | Primary |
Addresses
Primary practice location
510 S Church St
Clyde, OH 43410-2118
Mailing address
510 S Church St
Clyde, OH 43410-2118
Phone (419) 552-4694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78109661 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SY547745 | OH | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1720795966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 S CHURCH ST",
"city": "CLYDE",
"state": "OH",
"postal_code": "434102118",
"telephone_number": "419-552-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S CHURCH ST",
"city": "CLYDE",
"state": "OH",
"postal_code": "434102118",
"telephone_number": "419-552-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "ABBY",
"middle_name": "MAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-27",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "SY547745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78109661",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clyde, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.