Individual provider Active NPI

Tabatha Ladoris Robinson, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1164193041
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021035982 Issued in MO
Practice address
1120 S 6TH St Ste 110
Saint Louis, MO 63104-3602
Phone
(573) 723-6023
NPI assigned
Sep 21, 2021
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse Practitioner 363LF0000X 2021035982 MO Primary

Addresses

Primary practice location

1120 S 6TH St Ste 110
Saint Louis, MO 63104-3602

Mailing address

1120 S 6TH St Ste 110
Saint Louis, MO 63104-3602
Phone (573) 723-6023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230906001831 MO Practitioner - Nurse Practitioner 1850754045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agans Medical LLCGroup PAC ID 9830557875, 7 clinicians

Practice addresses (Care Compare)

Saint Louis, MO 63108
Phone (504) 352-7556

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021035982MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agans Medical LLC CurrentSince Jun 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

12813 Flushing Meadows Dr
Ste 110
Saint Louis, MO 63131

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

4625 Lindell Blvd
Ste 311
Saint Louis, MO 63108
Phone (314) 361-8700

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1164193041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S 6TH ST STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043602",
            "telephone_number": "573-723-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S 6TH ST STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043602",
            "telephone_number": "573-723-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TABATHA",
        "middle_name": "LADORIS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021035982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.