Active NPI
Jeanice Alexandra Robins
- Social Worker
- Logan, UT
National Provider Identifier
1912670159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 90 E 200 N
Logan, UT 84321-4034 - Phone
- (801) 600-8518
- NPI assigned
- Jul 25, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
90 E 200 N
Logan, UT 84321-4034
Mailing address
628 Canyon Rd
Logan, UT 84321-4241
Phone (801) 600-8518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285736553 | Medicaid | UT |
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": "1627171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627171200000",
"number": "1912670159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 CANYON RD",
"city": "LOGAN",
"state": "UT",
"postal_code": "843214241",
"telephone_number": "801-600-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 E 200 N",
"city": "LOGAN",
"state": "UT",
"postal_code": "843214034",
"telephone_number": "801-600-8518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINS",
"first_name": "JEANICE",
"middle_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-25",
"last_updated": "2021-07-25",
"certification_date": "2021-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285736553",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Logan, UT
- Robert E. Baldwin (Baldwin Optical)
- Robert L B Stevenson (Bridgerland Audiology & Hearing Aid)
- Linda Jones Roberts, APRN
- Lisa Shea Roberts, F.N.P.
- Sara Roberts, PHARMD
- Robinson Audiology, LLC. (Logan Hearing Zone & Brigham City Hearing Zone)
- Aubrey Robinson, LCMHC
- David M Robinson, AUD
- Lisa Ann Robinson, D.O.
- Monica Margurite Robinson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.