Individual provider Active NPI

Teresa Renea Robinson, CFNP

  • Family Nurse Practitioner
  • South Williamson, KY
National Provider Identifier
1740233402
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3567P Issued in KY
Practice address
306 Hospital Drive
Ste 202C
South Williamson, KY 41503
Phone
(606) 237-5800
Fax
(606) 237-5858
NPI assigned
May 17, 2006
Last updated
Jan 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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 3567P KY Primary

Addresses

Primary practice location

306 Hospital Drive
Ste 202C
South Williamson, KY 41503

Mailing address

306 Hospital Drive
Ste 202C
South Williamson, KY 41503
Phone (606) 237-5800

Other identifiers 2

IdentifierTypeStateIssuer
7104075000MedicaidWV
78006038MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050106000097 KY Practitioner - Nurse Practitioner 9638137003 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300356KYMDChiropractor
3567PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Feb 1, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc Family Current Accepting new patients
Appalachian Regional Healthcare, Inc. Family Past Accepting new patients

Locations

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

306 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

306 Hospital Dr
#110A
South Williamson, KY 41503
Phone (606) 237-1740

306 Hospital Dr
#202C
South Williamson, KY 41503
Phone (606) 237-5800

306 Hospital Dr
Ste 200E
South Williamson, KY 41503

306 Hospital Dr
Ste 202C
South Williamson, KY 41503
Phone (606) 237-1450

214 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3631

Interoperability endpoints

  • Direct secure messaging: teresarobinson@arh.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1740233402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HOSPITAL DRIVE",
            "address_2": "STE 202C",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "41503",
            "telephone_number": "606-237-5800",
            "fax_number": "606-237-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 HOSPITAL DRIVE",
            "address_2": "STE 202C",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "41503",
            "telephone_number": "606-237-5800",
            "fax_number": "606-237-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TERESA",
        "middle_name": "RENEA",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3567P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7104075000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78006038",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Williamson, KY

Sources for this page

Verify at the official NPI Registry.