Individual provider Active NPI

Renee Robinson, FNP

  • Primary Care Nurse Practitioner
  • Hamlet, NC
National Provider Identifier
1962055061
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5012036 Issued in NC
Practice address
104 Rice St
Hamlet, NC 28345-3304
Phone
(910) 817-9927
Fax
(910) 817-9845
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5012036 NC
Primary Care Nurse Practitioner 363LP2300X 5012036 NC Primary

Addresses

Primary practice location

104 Rice St
Hamlet, NC 28345-3304

Mailing address

944 Long Branch Rd
Green Mountain, NC 28740-6056
Phone (828) 208-3506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200115001229 NC Practitioner - Nurse Practitioner 7517392855 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5012036NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional NC, PLLC CurrentSince Jul 26, 2021 Accepting new patients
Brie Folkner MD PC CurrentSince Nov 11, 2019 Accepting new patients
Divine Medical LLC CurrentSince Mar 31, 2024 Accepting new patients
Compassionate Counseling Services LLC Primary Care PastSince Jul 2, 2023 Accepting new patients

Locations

2402 S Miami Blvd
Ste 101
Durham, NC 27703
Phone (919) 765-8730

1158 Greenwood Rd
Spruce Pine, NC 28777
Phone (828) 537-2180

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJCHBD

Organizations & group practices 4

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1962055061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 LONG BRANCH RD",
            "city": "GREEN MOUNTAIN",
            "state": "NC",
            "postal_code": "287406056",
            "telephone_number": "828-208-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RICE ST",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283453304",
            "telephone_number": "910-817-9927",
            "fax_number": "910-817-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5012036",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5012036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlet, NC

Sources for this page

Verify at the official NPI Registry.