Jamie Robinson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

117 Oak Ridge Ave
Hillside, IL 60162-2015

NPI assigned

Nov 2, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• One Eleven Transportation L L C

  • Non-emergency Medical Transport (VAN)
  • Hillside, IL
  • NPI 1023898897
  NPD Authorized official

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

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572652800000",
    "number": "1750925780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 OAK RIDGE AVE",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 OAK RIDGE AVE",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Oak Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Hillside",
            "state": "IL",
            "postal_code": "601622015",
            "country_code": "US",
            "telephone_number": "847-306-9843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-02",
        "last_updated": "2019-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samantha Marie Siepak, PHARMD

• All providers in Hillside, IL
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.