Active NPI
Robin Grimes Otte, M.S.N., C.R.N.P.
- Nurse Practitioner
- Florence, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1113617
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1113617 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Valley Surgery Group | Current | 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
- robin.otte@tvsgp.directbygreenway.com
- 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.
-
- Obstetrics & Gynecology Physician
- Florence, AL
- NPI 1346588852
-
- Surgery Physician
- Florence, AL
- NPI 1356309652
-
- General Acute Care Hospital
- Muscle Shoals, AL
- NPI 1699096552
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.