Organization Active NPI

Roberta Rexroth PA

Doing business as Community Medical

  • Adult Health Nurse Practitioner
  • Weeki Wachee, FL
National Provider Identifier
1104203892
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
ROBERTA REXROTH PA
Doing business as
Community Medical
Practice address
9256 Birmingham Ave
Weeki Wachee, FL 34613-4424
Phone
(352) 293-2833
Fax
(352) 293-2834
NPI assigned
May 1, 2015
Last updated
May 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Roberta Rexroth, ARNP
Title
President
Phone
(352) 293-2833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X FL Primary

Addresses

Primary practice location

9256 Birmingham Ave
Weeki Wachee, FL 34613-4424

Mailing address

9256 Birmingham Ave
Weeki Wachee, FL 34613-4424

Other names 1

  • Community Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1104203892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9256 BIRMINGHAM AVE",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346134424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9256 BIRMINGHAM AVE",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346134424",
            "telephone_number": "352-293-2833",
            "fax_number": "352-293-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA REXROTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "REXROTH",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-293-2833",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weeki Wachee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.