Paul Michael Robert, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5155785 Issued in FL

Practice address

273 Echo Cir
Fort Walton Beach, FL 32548-6314

Phone

(850) 585-3140

NPI assigned

Jan 26, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1205132073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 ECHO CIR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486314",
            "telephone_number": "850-585-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 ECHO CIR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486314",
            "telephone_number": "850-585-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERT",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5155785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rise Chiropractic
• Beth Paula Ritenour, RPH
• Jaileen Rivera-Diaz
• Aiza Rivera, PHARMACIST
• Robert D. Siwicki,D.P.M.,P.a.
• Franklin Arnold Roberts, LMHC LMFT
• Jane Anne Roberts, RN, COTA/L
• Jennifer Dawn Roberts, PHARMD
• Patricia (Trisha) Betty Roberts, RPT
• Jada Montrice Robinson, RBT

• Licensed Practical Nurse in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.