Kinshawda Rochester, WITH OPEN ARMS

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5208382 Issued in FL

Practice address

1520 SW Ironwood Dr
Lake City, FL 32025-1319

Phone

(386) 292-1792

NPI assigned

Dec 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1811394083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SW BRANDYWINE DR APT 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251358",
            "telephone_number": "386-292-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SW IRONWOOD DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251319",
            "telephone_number": "386-292-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHESTER",
        "first_name": "KINSHAWDA",
        "credential": "WITH OPEN ARMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5208382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• O'Neal Robinson III
• Pamela Nichols Robinson, CRNA
• Quatavia Sharnesh Robinson, CERTIFIED NURSING AS
• Vivian Robinson
• Roc Marian Assisted Living Facility, LLC
• Rocky Mountain Holdings, LLC
• Gilberto D Rodrigues, MD
• Ireilis Maria Rodriguez Fuentes
• Hannah Rodriguez
• Joyce Elaine Rodriguez, PHARMD

• Licensed Practical Nurse in Lake City, FL
• Providers in Lake City, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.