Individual provider Active NPI

Kristen G. Robinson, PA

  • Physician Assistant
  • Bossier City, LA
National Provider Identifier
1811207343
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA200397 Issued in LA
Practice address
2449 Hospital Dr
Suite 260
Bossier City, LA 71111-2399
Phone
(318) 212-7840
Fax
(318) 212-7845
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA200397 LA Primary

Addresses

Primary practice location

2449 Hospital Dr
Suite 260
Bossier City, LA 71111-2399

Mailing address

2449 Hospital Dr
Suite 260
Bossier City, LA 71111-2399
Phone (318) 212-7840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20110218000360 LA Practitioner - Physician Assistant 3971784323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Bossier OB-GYNGroup PAC ID 5597788018, 6 clinicians

Practice addresses (Care Compare)

2449 Hospital Dr
Suite 260
Bossier City, LA 71111-2399
Phone (318) 212-7840

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA200397LAMDPhysician Assistant
200397LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
L Gregory Blanton MD and Willis Knighton Medical Ctr Current Accepting new patients

Locations

2300 Hospital Dr
Ste 420
Bossier City, LA 71111
Phone (318) 212-7840

2449 Hospital Dr
Ste 260
Bossier City, LA 71111
Phone (318) 212-7840

Interoperability endpoints

  • Direct secure messaging: krobinson3@direct.wkhs.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1811207343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR",
            "address_2": "SUITE 260",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112399",
            "telephone_number": "318-212-7840",
            "fax_number": "318-212-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR",
            "address_2": "SUITE 260",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112399",
            "telephone_number": "318-212-7840",
            "fax_number": "318-212-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KRISTEN",
        "middle_name": "G.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA200397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.