Individual provider Active NPI

Robin Belinda Pavcik, ARNP

  • Family Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1245346121
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9188152 Issued in FL
Practice address
816 E Ocean Blvd
Stuart, FL 34994-2428
Phone
(772) 286-5551
Fax
(772) 286-3026
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9188152 FL Primary

Addresses

Primary practice location

816 E Ocean Blvd
Stuart, FL 34994-2428

Mailing address

1343 NW Spruce Ridge Dr
Stuart, FL 34994-9519
Phone (772) 692-3124

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

State licenses

LicenseStateTypeSpecialty
9188152FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1245346121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 NW SPRUCE RIDGE DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949519",
            "telephone_number": "772-692-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 E OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942428",
            "telephone_number": "772-286-5551",
            "fax_number": "772-286-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVCIK",
        "first_name": "ROBIN",
        "middle_name": "BELINDA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9188152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.