Individual provider Active NPI

Robin Grimes Otte, M.S.N., C.R.N.P.

  • Nurse Practitioner
  • Florence, AL
National Provider Identifier
1093085268
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1113617 Issued in AL
Practice address
1751 Veterans Dr Ste 125
Florence, AL 35630-4932
Phone
(256) 766-0150
Fax
(256) 764-4638
NPI assigned
Jan 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1-113617 AL
Nurse Practitioner 363L00000X 1113617 AL Primary

Addresses

Primary practice location

1751 Veterans Dr Ste 125
Florence, AL 35630-4932

Mailing address

1751 Veterans Dr Ste 125
Florence, AL 35630-4932
Phone (256) 766-0150

Other practice location 1

156 Titan Dr
Florence, AL 35630-1197
Phone (256) 764-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20170123003073 AL Practitioner - Nurse Practitioner 4082927009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecm Health Group LLCGroup PAC ID 9436395225, 139 clinicians

Practice addresses (Care Compare)

1751 Veterans Dr
Suite 125
Florence, AL 35630-4932
Phone (256) 766-0150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1113617ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Valley Surgery Group CurrentSince Aug 14, 2017 Accepting new patients
RCHP - Florence LLC Past Accepting new patients

Locations

2115 Cloyd Blvd
#8
Florence, AL 35630
Phone (256) 766-0150

2115 Cloyd Blvd
Ste 8
Florence, AL 35630
Phone (256) 766-0150

1751 Veterans Dr
Ste 125
Florence, AL 35630
Phone (256) 766-0150

Interoperability endpoints

  • Direct secure messaging: robin.otte@tvsgp.directbygreenway.com
  • Direct secure messaging: robin.otte.1@6269.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1093085268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 125",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304932",
            "telephone_number": "256-766-0150",
            "fax_number": "256-764-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 125",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304932",
            "telephone_number": "256-766-0150",
            "fax_number": "256-764-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 Titan Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356301197",
            "country_code": "US",
            "telephone_number": "256-764-7888",
            "fax_number": "256-740-0694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTE",
        "first_name": "ROBIN",
        "middle_name": "GRIMES",
        "name_prefix": "Mrs.",
        "credential": "M.S.N., C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AL",
            "license": "1-113617",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1113617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.