Active NPI
Robert Farris Robinson Jr., CCA
- Specialist
- Suffolk, VA
National Provider Identifier
1871662452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 3005 Bay Shore Lane
Suffolk, VA 23435-3175 - Phone
- (757) 582-4063
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | GA | Primary |
Addresses
Primary practice location
3005 Bay Shore Lane
Suffolk, VA 23435-3175
Mailing address
3005 Bay Shore LN
Suffolk, VA 23435-3175
Phone (757) 484-1167
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": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1871662452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 BAY SHORE LN",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353175",
"telephone_number": "757-484-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 BAY SHORE LANE",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353175",
"telephone_number": "757-582-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "ROBERT",
"middle_name": "FARRIS",
"name_suffix": "Jr.",
"credential": "CCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.