Raquel Cassandra Reid-Robinson, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP025267 Issued in PA

Practice address

644 Beverly Blvd
Upper Darby, PA 19082-3504

Phone

(610) 389-8697

NPI assigned

Apr 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Raquel Cassandra Reid Former name

Medicare fee-for-service enrollment

Enrolled in DE, PA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vista Medical Services IncGroup PAC ID 5597743344, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Vista Medical Services, Inc.

  • Psychiatry Physician
  • Bala Cynwyd, PA
  • NPI 1659452027

  DE, PA

  Medicare reassignment Care Compare group NPD
• Guardian Angel Staffing

  • Home Health Agency
  • Upper Darby, PA
  • NPI 1205353240
  NPD Authorized official
• Vitalcore Wellness Clinic LLC

  • Primary Care Clinic/Center
  • Middletown, DE
  • NPI 1538094172
  NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1740924836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 BEVERLY BLVD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190823504",
            "telephone_number": "610-389-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 BEVERLY BLVD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190823504",
            "telephone_number": "610-389-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID-ROBINSON",
        "first_name": "RAQUEL",
        "middle_name": "CASSANDRA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011877",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAQUEL",
            "last_name": "REID",
            "middle_name": "CASSANDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Avinash Udaram Raut, MS
• Brian K Rebisz, D.C., D.A.C.R.B.
• Recovery Home Healthcare LLC RHHC
• Recovery Home Healthcare LLC RHHC
• Reheal Mental Health and Addiction Services
• Relentless Community Home Care Agency LLC
• Renaissance Comfort Care Inc
• Rest Recovery House Inc
• Sherman Lamont Richmond, LPN
• Lasheena Riley-Duval

• All providers in Upper Darby, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.