Individual provider Active NPI

Robert D Yarbrough

  • Family Nurse Practitioner
  • Fleming Island, FL
National Provider Identifier
1104435239
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11008104 Issued in FL
Practice address
1845 Town Center Blvd BLDG 400
Fleming Island, FL 32003-3356
Phone
(904) 529-2800
Fax
(904) 529-2802
NPI assigned
Jul 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11008104 FL Primary

Addresses

Primary practice location

1845 Town Center Blvd BLDG 400
Fleming Island, FL 32003-3356

Mailing address

1845 Town Center Blvd.
BLDG. 600, Box #15
Fleming Island, FL 32003
Phone (904) 529-2800

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
I20210510000846 FL Practitioner - Nurse Practitioner 4981013646 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008104FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restorixhealth at-Home, LLC CurrentSince Jun 3, 2021 Accepting new patients
Florida Department of Health CurrentSince Jun 29, 2021 Accepting new patients
WCS Professional Services of Florida, LLC CurrentSince Jun 3, 2021 Accepting new patients
Florida Department of Health CurrentSince Jun 29, 2021 Accepting new patients

Locations

1845 Town Center Blvd
Ste 400
Fleming Island, FL 32003
Phone (904) 529-2800

1845 Town Center Blvd
Bldg 400
Fleming Island, FL 32003
Phone (904) 529-2800

1845 Town Center Blvd
Bldg 600
Fleming Island, FL 32003

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

3229 Bear Run Blvd
Orange Park, FL 32065
Phone (904) 213-3177

3445 N Causeway Blvd
Ste 600
Metairie, LA 70002
Phone (504) 835-4919

Organizations & group practices 4

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1104435239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 TOWN CENTER BLVD.",
            "address_2": "BLDG. 600, BOX #15",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "32003",
            "telephone_number": "904-529-2800",
            "fax_number": "904-529-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 TOWN CENTER BLVD BLDG 400",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033356",
            "telephone_number": "904-529-2800",
            "fax_number": "904-529-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBROUGH",
        "first_name": "ROBERT",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.