NSB Family Medicine Telehealth

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NSB FAMILY MEDICINE TELEHEALTH

Practice address

735 Williams Rd
New Smyrna Beach, FL 32168-7899

Phone

(386) 837-1071

Fax

(949) 695-2561

NPI assigned

May 17, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Robina Wendy Belanger, ARPNNPI 1861631061

Title

Owner

Phone

(386) 837-1071

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robina W Belanger, FNP

  • Adult Health Nurse Practitioner
  • Mount Dora, FL
  • NPI 1861631061
  NPD Authorized official

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1194416537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 WILLIAMS RD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687899",
            "telephone_number": "386-837-1071",
            "fax_number": "949-695-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 WILLIAMS RD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687899",
            "telephone_number": "386-837-1071",
            "fax_number": "949-695-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSB FAMILY MEDICINE TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "BELANGER",
        "authorized_official_first_name": "ROBINA",
        "authorized_official_middle_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-837-1071",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARPN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.