Individual provider Active NPI

Althea L Robinson, FNP-BC

  • Family Nurse Practitioner
  • Lake City, FL
National Provider Identifier
1205232808
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016813 Issued in CA
Practice address
173 NW Albritton LN
Lake City, FL 32055-4451
Phone
(386) 755-4020
NPI assigned
Nov 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 159912 MT
Family Nurse Practitioner 363LF0000X ARNP9396075 FL
Family Nurse Practitioner 363LF0000X 95016813 CA Primary

Addresses

Primary practice location

173 NW Albritton LN
Lake City, FL 32055-4451

Mailing address

108 Mary St
Brunswick, GA 31520-2213

Other practice location 1

25 14th Ave NW
Great Falls, MT 59404-1954
Phone (406) 731-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150304000715 FL Practitioner - Nurse Practitioner 9436475720 Reassigns benefits to 2 organizations
I20220623003235 MT Practitioner - Nurse Practitioner 9436475720 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9396075FLMDFamily Nurse Practitioner
159912MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals Inc CurrentSince May 15, 2022 Accepting new patients
Baya Urgent Care LLC CurrentSince Dec 3, 2016 Accepting new patients

Locations

1465 W US Highway 90
Ste 100
Lake City, FL 32055
Phone (386) 755-2268

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

25 14th Ave NW
Great Falls, MT 59404
Phone (406) 455-4777

Interoperability endpoints

  • Direct secure messaging: althea.robinson.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: arobinson768582@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1205232808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MARY ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 NW ALBRITTON LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554451",
            "telephone_number": "386-755-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 14th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594041954",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ALTHEA",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "159912",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9396075",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.