Individual provider Active NPI

Marie Caroline Robertson, APRN

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1134557796
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9329726 Issued in FL
Practice address
5707- N. 22ND Street
Tampa, FL 33610-4350
Phone
(813) 239-8069
Fax
(813) 231-7324
NPI assigned
Oct 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X ARNP9329726 FL
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X APRN9329726 FL
Nurse Practitioner 363L00000X ARNP9329726 FL
Nurse Practitioner 363L00000X APRN9329726 FL Primary

Addresses

Primary practice location

5707- N. 22ND Street
Tampa, FL 33610-4350

Mailing address

5707- N. 22ND Street
Tampa, FL 33610-4350
Phone (813) 239-8069

Other identifiers 2

IdentifierTypeStateIssuer
012391800MedicaidFL
HT019YOtherFLPTAN

Other names 1

  • Caroline Seignon Former name

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
I20140422002053 FL Practitioner - Nurse Practitioner 4688806847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida International Univ, College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nxpath Psychiatry LLCGroup PAC ID 0345692364, 13 clinicians

Practice addresses (Care Compare)

11207 Cocoa Beach Dr
Riverview, FL 33569-2949
Phone (407) 900-1405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9329726FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trucare Inc Current Accepting new patients
Nxpath Psychiatry LLC CurrentSince Apr 1, 2025 Accepting new patients
Magnet Home Health Care Services, LLC Current Accepting new patients
Ibis Healthcare Inc Past Accepting new patients

Locations

11355 131st St
Largo, FL 33774
Phone (813) 325-7479

Interoperability endpoints

  • Direct secure messaging: caroline.robertson.1@25403.direct.athenahealth.com

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": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1134557796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707- N. 22ND STREET",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104350",
            "telephone_number": "813-239-8069",
            "fax_number": "813-231-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707- N. 22ND STREET",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104350",
            "telephone_number": "813-239-8069",
            "fax_number": "813-231-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MARIE CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "ARNP9329726",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "APRN9329726",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9329726",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9329726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012391800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "HT019Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "SEIGNON",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.