Individual provider Active NPI

Lindsey Brianne Robinson, PA-C

  • Physician Assistant
  • Hollywood, FL
National Provider Identifier
1104601947
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117375 Issued in FL
Practice address
1131 N 35TH Ave
Hollywood, FL 33021-5403
Phone
(954) 265-1616
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117375 FL Primary

Addresses

Primary practice location

1131 N 35TH Ave
Hollywood, FL 33021-5403

Mailing address

6280 SW 178TH Ave
Southwest Ranches, FL 33331-1615
Phone (813) 763-8106

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
I20240102002930 FL Practitioner - Physician Assistant 7719337898 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Nov 21, 2023 Accepting new patients
South Broward Hospital District CurrentSince Nov 21, 2023 Accepting new patients
The Nemours Foundation Past Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

1131 N 35th Ave
Ste 210
Hollywood, FL 33021
Phone (954) 265-9344

1971 SW 172nd Ave
Miramar, FL 33029
Phone (954) 538-4810

4651 Sheridan St
Ste 150
Pembroke Park, FL 33021
Phone (954) 265-6331

Organizations & group practices 5

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1104601947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 SW 178TH AVE",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311615",
            "telephone_number": "813-763-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N 35TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215403",
            "telephone_number": "954-265-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LINDSEY",
        "middle_name": "BRIANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.