MR. FREDRICK L. ROBINSON (NPI# 1972620375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972620375 |
| Entity Type | Individual |
| Full Name | MR. FREDRICK L. ROBINSON |
| Credential | ATC, LAT, MS |
| Practice Address |
1400 J R Lynch St Jackson MS 39217-0002 |
| Mailing Address |
Po Box 1722 Brandon MS 39043-1722 |
| Practice Telephone | 6019797032 |
| Mailing Telephone | 6018254495 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992959407 | Fredrick Robinson | Case Manager/Care Coordinator | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2008-11-11 |
| 1932270642 | Fredrick Robinson IIi | Dentist | 81 Hawthorn St, New Bedford, MA 02740-3429 | 2006-11-13 |
| 1265432512 | Fredrick Robinson II | Family Medicine | 12655 Warwick Blvd, Suite A, Newport News, VA 23606-2501 | 2005-07-28 |
| Street Address |
1400 J R LYNCH ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39217-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750860755 | Tiffany Ciara Smith | Nurse Practitioner | 1400 J R Lynch St, Jackson, MS 39217-5511 | 2018-08-09 |
| 1215292057 | Ollie Loraine Harper | Clinic/Center | 1400 J R Lynch St, Jackson, MS 39217-0002 | 2012-07-09 |
| 1316101611 | Lorna Shird | Psychologist | 1400 J R Lynch St, Department of Psychology, Jackson, MS 39217-0002 | 2008-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275028193 | Jacqueline Reese-smith | Psychologist | 1400 J. R. Lynch Street, Department of Psychology, Jackson, MS 39217 | 2018-06-22 |
| 1831281922 | Latoya Cordrellia Johnson | Counselor | 1500 E Woodrow Wilson Dr, Jackson, MS 39217-0001 | 2006-09-28 |
| 1366991523 | Jackson State University | General Practice | 1400 Jr Lynch St, Jackson, MS 39217-0002 | 2016-09-29 |
| 1205289659 | Jaspreet Kaur Oberoi | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39217-2608 | 2016-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851407 | Rebecca Lynn Collimore | Student in an Organized Health Care Education/Training Program | 5 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2020-11-05 |
| 1902407067 | Mjp Management LLC | In Home Supportive Care | 1 Comtronics Pl, Jackson, MI 49203-7500 | 2020-11-05 |
| 1457952665 | John Cate Owen | Counselor | 2525 Lakeward Dr Ste 400, Jackson, MS 39216-4827 | 2020-11-04 |
| 1326649740 | Madison Mcbride | Occupational Therapist | 442 Redmond St, Jackson, WY 83001-8451 | 2020-11-03 |
| 1013518430 | Millie Mitchell | Social Worker | 321 Woodland Dr, Jackson, AL 36545-2438 | 2020-11-03 |
| 1508467986 | Calvin Walker | Social Worker | 138 Prince Edward St, Jackson, TN 38301-5316 | 2020-11-03 |
| 1922609288 | Kristen Nicole Frank | Physical Therapist | 2290 W County Line Rd Ste 215, Jackson, NJ 08527-2267 | 2020-11-03 |
| 1104427780 | Ronald Dwayne Woods | Dietitian, Registered | 1 Ashton Gardens Dr, Jackson, MS 39211-4275 | 2020-11-02 |
| 1154922789 | Linda Vaughn | Technician | 5433 State Route 139, Jackson, OH 45640-9271 | 2020-11-02 |
| 1073113627 | Jessicah Blasdel | Nurse Practitioner | 113 W Michigan Ave, Jackson, MI 49201-1340 | 2020-10-31 |
| Find all providers in JACKSON | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205471752 | Shelly Ann Botwinick | Specialist/Technologist | 104 Daisy Ct, Jackson, NJ 08527-2582 | 2019-11-07 |
| 1023668019 | Jonathan Wilson | Specialist/Technologist | 1050 Union University Dr # 1811, Jackson, TN 38305-3656 | 2019-09-12 |
| 1588132161 | John Thomas Raybon | Specialist/Technologist | 328 Portis Ave, Jackson, AL 36545-2650 | 2018-11-13 |
| 1265925044 | Caroline Marie Stevens | Specialist/Technologist | 715 S Grinnell St, Jackson, MI 49203-1685 | 2018-06-07 |
| 1447762067 | Sarah Elisabeth Wilhelm | Specialist/Technologist | 3483 Spring Arbor Rd, Jackson, MI 49203-3637 | 2017-11-05 |
| 1619410388 | Erin Nelson | Specialist/Technologist | 4174 Lancashire Dr, Jackson, MI 49203-5137 | 2016-11-29 |
| 1235681685 | Latesha Fleming | Specialist/Technologist | 241 Glenside Dr, Jackson, MS 39211-4309 | 2016-11-02 |
| 1962855239 | David Miller | Specialist/Technologist | 917 Bellevue Pl, Jackson, MS 39202-2702 | 2016-07-21 |
| 1023488186 | Melanie J Weesies | Specialist/Technologist | 3417 Mayapple Ln Apt 32, Jackson, MI 49201-7199 | 2015-10-01 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| Find all providers in JACKSON | ||||
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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.