Active NPI
Jeff Robson
- Paramedic
- Grand Blanc, MI
National Provider Identifier
1972961597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- Practice address
- 9463 Holly Rd
Suite 104
Grand Blanc, MI 48439-2557 - Phone
- (810) 599-9321
- NPI assigned
- Feb 10, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | Primary | ||
| Intermediate Emergency Medical Technician | 146M00000X | |||
| Basic Emergency Medical Technician | 146N00000X |
Addresses
Primary practice location
9463 Holly Rd
Suite 104
Grand Blanc, MI 48439-2557
Mailing address
9463 Holly Rd
Suite 104
Grand Blanc, MI 48439-2557
Phone (810) 599-9321
Other names 1
- Beth Moore
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": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1972961597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9463 HOLLY RD",
"address_2": "SUITE 104",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392557",
"telephone_number": "810-599-9321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9463 HOLLY RD",
"address_2": "SUITE 104",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392557",
"telephone_number": "810-599-9321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBSON",
"first_name": "JEFF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-10",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": null,
"license": null,
"primary": true
},
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": null,
"license": null,
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "MOORE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.