Active NPI
Robert Nicholas Donofrio, ARNP
- Nurse Practitioner
- Fort Walton Beach, FL
National Provider Identifier
1033184791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 679762
- Practice address
- 137 Hospital Dr NE
Fort Walton Beach, FL 32548-5063 - Phone
- (850) 833-7451
- Fax
- (850) 833-7439
- NPI assigned
- Feb 17, 2006
- Last updated
- Dec 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP 679762 | FL | Primary |
Addresses
Primary practice location
137 Hospital Dr NE
Fort Walton Beach, FL 32548-5063
Mailing address
137 Hospital Dr NE
Fort Walton Beach, FL 32548-5063
Phone (850) 833-7451
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2058725 | Other | FL | CIGNA |
| Y3205 | Other | FL | BCBS |
| 1000877 | Other | FL | UNITED HEALTHCARE |
| 761969300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 679762 | FL | MD | Nurse Practitioner |
Interoperability endpoints
- https://api.platform.athenahealth.com/20976/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1033184791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 HOSPITAL DR NE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485063",
"telephone_number": "850-833-7451",
"fax_number": "850-833-7439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 HOSPITAL DR NE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485063",
"telephone_number": "850-833-7451",
"fax_number": "850-833-7439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOFRIO",
"first_name": "ROBERT",
"middle_name": "NICHOLAS",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP 679762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2058725",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y3205",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1000877",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "761969300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Walton Beach, FL
- Dolphin Radiology PLLC (Open MRI of Fort Walton)
- Emmanuel Carlo Mantes Dominguez, MD
- Donald E Hamilton M D P a
- Donald W Whitaker MD PA
- Nicholas Donnelly
- Jermaine Donson, PTA, WCC
- George William Doolin Jr., OD
- Kaylee Dae Dozier
- Dr R Keith Amiel-Optometrist P a (Amiel Eyecare Center)
- Dr. Edward M. Frisbee Canter for Heathly Living
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.