Healthcare Provider Details

I. General information

NPI: 1356272090
Provider Name (Legal Business Name): TI'ERA LASHAY ROBINSON CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 S 25TH ST APT 101
OMAHA NE
68131-2607
US

IV. Provider business mailing address

1222 N 31ST ST APT E7
COUNCIL BLUFFS IA
51501-0671
US

V. Phone/Fax

Practice location:
  • Phone: 210-906-1011
  • Fax:
Mailing address:
  • Phone: 712-561-9291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number340729
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: