Individual provider Active NPI

Carmen Regiena Robinson, NP

  • Nurse Practitioner
  • Weatherford, TX
National Provider Identifier
1154795482
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1217984 Issued in TX
Practice address
100 Mariah Dr
Weatherford, TX 76087-7408
Phone
(866) 641-7488
NPI assigned
Nov 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN223128 GA
Nurse Practitioner 363L00000X 1217984 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN10033964 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN223128 GA

Addresses

Primary practice location

100 Mariah Dr
Weatherford, TX 76087-7408

Mailing address

180 Water Oak Dr
Cedartown, GA 30125-2095
Phone (770) 748-0030

Other practice location 1

3450 Northlake Blvd Ste 110
Palm Beach Gardens, FL 33403-1712
Phone (561) 444-6140

Other practice location 2

180 Water Oak Dr
Cedartown, GA 30125-2095
Phone (770) 748-0030 ext. 3021

Other practice location 3

60 Brooks Dr
Braintree, MA 02184-3855
Phone (339) 235-2776

Other practice location 4

5829 Corporate Way
West Palm Beach, FL 33407-2021
Phone (561) 933-7531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1217984TXMDNurse Practitioner
RN223128GAMDPsychiatric/Mental Health Nurse Practitioner
RN10033964MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clean & Sober Recovery Center, Inc. Past Accepting new patients
Highland Rivers CSB Past Accepting new patients

Organizations & group practices 2

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": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1154795482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WATER OAK DR",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252095",
            "telephone_number": "770-748-0030",
            "fax_number": "770-749-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARIAH DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760877408",
            "telephone_number": "866-641-7488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 Northlake Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334031712",
            "country_code": "US",
            "telephone_number": "561-444-6140",
            "fax_number": "561-209-5082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Water Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Cedartown",
            "state": "GA",
            "postal_code": "301252095",
            "country_code": "US",
            "telephone_number": "770-748-0030 x3021",
            "fax_number": "770-749-4418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Brooks Dr",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021843855",
            "country_code": "US",
            "telephone_number": "339-235-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5829 Corporate Way",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072021",
            "country_code": "US",
            "telephone_number": "561-933-7531",
            "fax_number": "561-209-5082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CARMEN",
        "middle_name": "REGIENA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN223128",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1217984",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN10033964",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN223128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.