Provider Demographics
NPI:1700186038
Name:ROBINSON, EMILY ELLINGTON (APRN)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ELLINGTON
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 HARRY SYKES WAY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-1172
Mailing Address - Country:US
Mailing Address - Phone:859-218-2273
Mailing Address - Fax:859-323-2299
Practice Address - Street 1:1135 RED MILE PL
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-1172
Practice Address - Country:US
Practice Address - Phone:859-218-2273
Practice Address - Fax:859-323-2299
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3006567363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3006567OtherAPRN
KY7100208620Medicaid