ROBIN BARTLEY (NPI# 1104240563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104240563 |
| Entity Type | Individual |
| Full Name | ROBIN BARTLEY |
| Other Name | CAROLE BARTLEY |
| Credential | BSN, RN |
| Practice Address |
1500 E Woodrow Wilson Ave Surgical Icu Jackson MS 39216-5116 |
| Practice Telephone | 6013624471 |
| Mailing Telephone | 6013624471 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
R764717 | MS | Nursing Service Providers |
| Street Address |
1500 E WOODROW WILSON AVE SURGICAL ICU |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740264035 | Sadeka Tamanna | Internal Medicine | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2005-12-01 |
| 1881291383 | Regina Marie Riley | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-10-07 |
| 1811502024 | Wendy Hopkins | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-09-14 |
| 1528679420 | Christopher Michael Mcguffey | Physical Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-08-13 |
| 1124637319 | Kathryn Martin Lewis | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-24 |
| 1932727468 | Davis Mckenna Simms | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-10 |
| 1154948222 | Tiffany Floyd | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-06 |
| 1962029389 | Devonda Y Elliott | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-01 |
| 1629693759 | Latorya Lashay Smith | Dietitian, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-06-15 |
| 1932721669 | Aubrey Cain Young | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506268 | Briana Robinson | Registered Nurse | 6619 Franklin D Roosevelt Dr, Jackson, MS 39213-2906 | 2020-04-06 |
| 1124637319 | Kathryn Martin Lewis | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-24 |
| 1689141277 | Brian Mcgeogh | Registered Nurse | 4585 Fishing Club Dr, Jackson, WY 83001-0015 | 2018-11-01 |
| 1134644065 | Creshon Spears | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2017-08-11 |
| 1942759766 | Lindsey Tatum | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2016-09-22 |
| 1851575880 | Amanda Leah Barry | Registered Nurse | 1860 Chadwick Dr, Suite 101, Jackson, MS 39204 | 2007-12-27 |
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|---|---|---|---|---|
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| 1831599307 | Sheila Yvonne Moran | Registered Nurse | 117 Windy Lake Cir, Vicksburg, MS 39183-8747 | 2014-09-02 |
| 1427322437 | Paul Leo Kostmayer | Registered Nurse | 1952 Kornman Dr, Biloxi, MS 39532-2002 | 2012-03-08 |
| 1639794324 | Ryan Abraham | Registered Nurse | 500 Fisher St, Biloxi, MS 39534-2502 | 2020-06-09 |
| 1578183802 | Lauren Clark Beasley | Registered Nurse | 2520 5th St N, Columbus, MS 39705-2008 | 2020-04-16 |
| 1326531229 | John Walker | Registered Nurse | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2018-06-14 |
| 1437523958 | James Sullivan | Registered Nurse | 4500 13th St, Gulfport, MS 39501-2515 | 2015-11-20 |
| 1780022509 | Shannon Davis Sims | Registered Nurse | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2013-06-14 |
| 1750649067 | Nickolaos Thomas Portaritis | Registered Nurse | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2012-04-25 |
| 1558649863 | Mark Lee Francis | Registered Nurse | 301 Fisher St, 81st Medical Group, Biloxi, MS 39534-2508 | 2011-08-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.