Active NPI
Cara Robb, NP-C
- Nurse Practitioner
- Brandon, MS
National Provider Identifier
1912423989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 902263
- Practice address
- 120 Woodcliff PL
Brandon, MS 39042-1928 - Phone
- (901) 461-5406
- NPI assigned
- Aug 21, 2017
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 902263 | MS | Primary |
Addresses
Primary practice location
120 Woodcliff PL
Brandon, MS 39042-1928
Mailing address
120 Woodcliff PL
Brandon, MS 39042-1928
Phone (901) 461-5406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180122001349 | MS | Practitioner - Nurse Practitioner | 4486913308 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Corner Clinic Urgent Care LLC
Practice addresses (Care Compare)
225 Bank 1St Dr
Flowood, MS 39232-6611
Phone (601) 992-0004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corner Clinic Urgent Care LLC | Current | Accepting new patients |
Locations
225 Bank First Dr
Flowood, MS 39232
Phone (601) 376-2945
3823 Highway 80 E
Ste 200
Pearl, MS 39208
Phone (769) 223-3261
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1912423989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WOODCLIFF PL",
"city": "BRANDON",
"state": "MS",
"postal_code": "390421928",
"telephone_number": "901-461-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WOODCLIFF PL",
"city": "BRANDON",
"state": "MS",
"postal_code": "390421928",
"telephone_number": "901-461-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBB",
"first_name": "CARA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-21",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "902263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.