Individual provider Active NPI

Robin Denise Floyd, FNP-BC

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1114913027
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
622550 Issued in TX
Practice address
619 N Grant Ave
Suite 120
Odessa, TX 79761-4502
Phone
(432) 580-9990
Fax
(432) 580-9989
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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 622550 TX Primary

Addresses

Primary practice location

619 N Grant Ave
Suite 120
Odessa, TX 79761-4502

Mailing address

619 N Grant Ave
Suite 120
Odessa, TX 79761-4502
Phone (432) 580-9990

Other names 1

  • Robin Denise Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051129000979 TX Practitioner - Nurse Practitioner 4587684014 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Home Hospice of Odessa/Midland, LLC Current Accepting new patients

Locations

801 N Main St
Ste G
Andrews, TX 79714
Phone (432) 524-5139

111 E 7th St
Ste A
Big Spring, TX 79720
Phone (432) 264-7599

601 E 2nd St
Ste F
Odessa, TX 79761
Phone (432) 332-1273

619 N Grant Ave
Ste 120
Odessa, TX 79761
Phone (432) 580-9990

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Home HospiceOdessa, TX, CCN 451617 Hospice 5% Or Greater Direct Ownership Interest (18.52%)
W-2 Managing Employee (100%)
Nov 17, 2017
Apr 3, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1114913027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N GRANT AVE",
            "address_2": "SUITE 120",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614502",
            "telephone_number": "432-580-9990",
            "fax_number": "432-580-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N GRANT AVE",
            "address_2": "SUITE 120",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614502",
            "telephone_number": "432-580-9990",
            "fax_number": "432-580-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "ROBIN",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "622550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "DAVIS",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.