Active NPI
Chardonnay Robinson
- Case Manager/Care Coordinator
- Berlin, MD
National Provider Identifier
1821381294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9730 Healthway Drive
Worcester Co. Health Department - Berlin Health Center
Berlin, MD 21811 - Phone
- (410) 629-0164
- Fax
- (410) 629-0185
- NPI assigned
- May 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
9730 Healthway Drive
Worcester Co. Health Department - Berlin Health Center
Berlin, MD 21811
Mailing address
911 Johnson St
Salisbury, MD 21804-3862
Phone (410) 742-8581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 705371101 | Medicaid | MD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1821381294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 JOHNSON ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218043862",
"telephone_number": "410-742-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 HEALTHWAY DRIVE",
"address_2": "WORCESTER CO. HEALTH DEPARTMENT - BERLIN HEALTH CENTER",
"city": "BERLIN",
"state": "MD",
"postal_code": "21811",
"telephone_number": "410-629-0164",
"fax_number": "410-629-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "CHARDONNAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "705371101",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.