Individual provider Active NPI

Robin Shepherd Tighe, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1013661214
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11016663 Issued in FL
Practice address
1909 Beach Blvd Ste 102
Jacksonville, FL 32250-2643
Phone
(904) 246-2752
Fax
(904) 246-2758
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11016663 FL Primary

Addresses

Primary practice location

1909 Beach Blvd Ste 102
Jacksonville, FL 32250-2643

Mailing address

1909 Beach Blvd Ste 102
Jacksonville, FL 32250-2643
Phone (904) 246-2752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805002715 CA Practitioner - Nurse Practitioner 0446630586 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11016663FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haramandeep Singh MD Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

2500 Old Crow Canyon Rd
Ste 505
San Ramon, CA 94583
Phone (925) 415-5353

Interoperability endpoints

  • Direct secure messaging: robin.tighe.1@25110.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2732/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1013661214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 BEACH BLVD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502643",
            "telephone_number": "904-246-2752",
            "fax_number": "904-246-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 BEACH BLVD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502643",
            "telephone_number": "904-246-2752",
            "fax_number": "904-246-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGHE",
        "first_name": "ROBIN",
        "middle_name": "SHEPHERD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.