Individual provider Active NPI

Nicole Robinson

  • Speech-Language Assistant
  • Lewiston, ME
National Provider Identifier
1750979639
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SAS3369 Issued in ME
Practice address
23 Westminster St
Lewiston, ME 04240-3531
Phone
(207) 777-7000
NPI assigned
Jan 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SAS3369 ME Primary

Addresses

Primary practice location

23 Westminster St
Lewiston, ME 04240-3531

Mailing address

23 Westminster St
Lewiston, ME 04240-3531
Phone (207) 777-7000

Other identifiers 1

IdentifierTypeStateIssuer
010355896MedicaidME

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nicole.perra@jfmh.org
CONNECT URL nicole@brightstarttherapy.com

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

LicenseStateTypeSpecialty
SAS3369MEMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Start Therapy, Inc. CurrentSince Jan 26, 2022 Accepting new patients
John F Murphy Homes, Inc. PastSince Jan 1, 2021 Accepting new patients

Locations

23 Westminster St
Lewiston, ME 04240
Phone 2075778442 ext. 20757

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1750979639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WESTMINSTER ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403531",
            "telephone_number": "207-777-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WESTMINSTER ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403531",
            "telephone_number": "207-777-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "ME",
            "license": "SAS3369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010355896",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.perra@jfmh.org",
            "affiliation": "N",
            "endpointDescription": "nicole.perra@maine.edu",
            "address_1": "60 Industrial Park Rd",
            "city": "Saco",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040721840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nicole@brightstarttherapy.com",
            "affiliation": "N",
            "address_1": "23 Westminster St",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042403531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.