Individual provider Active NPI

Robin Harty, ARNP

  • Acute Care Nurse Practitioner
  • Debary, FL
National Provider Identifier
1063699411
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP3287312 Issued in FL
Practice address
260 W Constance Rd
Debary, FL 32713-3957
Phone
(386) 668-8135
Fax
(386) 668-8519
NPI assigned
Jan 29, 2008
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP3287312 FL Primary
Gerontology Nurse Practitioner 363LG0600X 3287312 FL
Registered Nurse First Assistant 163WR0006X RN3287312 FL

Addresses

Primary practice location

260 W Constance Rd
Debary, FL 32713-3957

Mailing address

260 W Constance Rd
Debary, FL 32713-3957
Phone (386) 668-8135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171219002000 FL Practitioner - Nurse Practitioner 6406114511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Trauma Services LLCGroup PAC ID 3971985938, 92 clinicians

Practice addresses (Care Compare)

1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN3287312FLMDRegistered Nurse First Assistant
3287312FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restorixhealth at-Home, LLC CurrentSince Mar 1, 2021 Accepting new patients
Florida Trauma Services, LLC CurrentSince Jun 8, 2022 Accepting new patients
WCS Professional Services of Florida, LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

1658 St Vincents Way
Ste 120
Middleburg, FL 32068
Phone (904) 602-1000

1887 Kingsley Ave
Ste 1900
Orange Park, FL 32073
Phone (904) 272-9981

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

1403 Medical Plaza Dr
Ste 102
Sanford, FL 32771
Phone (407) 323-7821

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: robin.harty@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1063699411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W CONSTANCE RD",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327133957",
            "telephone_number": "386-668-8135",
            "fax_number": "386-668-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W CONSTANCE RD",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327133957",
            "telephone_number": "386-668-8135",
            "fax_number": "386-668-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTY",
        "first_name": "ROBIN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP3287312",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "3287312",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN3287312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

Verify at the official NPI Registry.