Active NPI
Terry Allen Robichaud, PA-C
- Physician Assistant
- Henderson, NV
National Provider Identifier
1881644771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 444
- Practice address
- 10561 Jeffreys St Ste 211
Henderson, NV 89052 - Phone
- (702) 990-4530
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 444 | NV | |
| Physician Assistant | 363A00000X | 444 | NV | Primary |
Addresses
Primary practice location
10561 Jeffreys St Ste 211
Henderson, NV 89052
Mailing address
10561 Jeffreys St Ste 211
Henderson, NV 89052-4268
Phone (702) 990-4530
Other practice location 1
4750 W Oakey Blvd
Ste # 3A
Las Vegas, NV 89102-1535
Phone (702) 877-5370
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881644771 | Medicaid | NV | |
| 100510539 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David J. Oliveri, M.D., PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Las Vegas, NV
- NPI 1720045198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1881644771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10561 JEFFREYS ST STE 211",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524268",
"telephone_number": "702-990-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10561 JEFFREYS ST STE 211",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89052",
"telephone_number": "702-990-4530"
}
],
"practiceLocations": [
{
"address_1": "4750 W Oakey Blvd",
"address_2": "Ste # 3A",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021535",
"country_code": "US",
"telephone_number": "702-877-5370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBICHAUD",
"first_name": "TERRY",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "444",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881644771",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100510539",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.