Individual provider Active NPI

Tykise Lajuan Robbins, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1841616489
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18495 Issued in TN
Practice address
2922 Covington Pike
Memphis, TN 38128-6007
Phone
(901) 425-0200
Fax
(901) 213-9868
NPI assigned
Mar 6, 2014
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18495 TN Primary

Addresses

Primary practice location

2922 Covington Pike
Memphis, TN 38128-6007

Mailing address

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329
Phone (562) 977-4674

Other names 1

  • Mrs. Tykise Lajuan Robbins Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140616001987 TN Practitioner - Nurse Practitioner 2769606664 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Oct 1, 2022 Accepting new patients
Restorative Mobile Wound Care, LLC Family CurrentSince Jul 2, 2025 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Jul 1, 2022 Accepting new patients
Caremore Medical Group of Tennessee PC PastSince Aug 25, 2019 Accepting new patients
Carelon Medical Partners of Arizona, P.C. Past Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

618 Oakleaf Office Ln
Memphis, TN 38117
Phone (901) 290-6244

618 Oakleaf Office Ln
Ste 200
Memphis, TN 38117
Phone (901) 207-6357

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: tykise.robbins.1@32527.direct.athenahealth.com
  • Direct secure messaging: tykise.robbins.p1@direct.caremoreagp.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1841616489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-977-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381286007",
            "telephone_number": "901-425-0200",
            "fax_number": "901-213-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "TYKISE",
        "middle_name": "LAJUAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYKISE",
            "last_name": "ROBBINS",
            "middle_name": "LAJUAN",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.