Individual provider Active NPI

Robin Michelle Warner, MD

  • Pediatrics Physician
  • Union, KY
National Provider Identifier
1255394532
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35665 Issued in KY
Practice address
8667 US Highway 42 Ste 300
Union, KY 41091-8759
Phone
(859) 384-2550
Fax
(859) 384-0947
NPI assigned
Apr 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35665 KY Primary

Addresses

Primary practice location

8667 US Highway 42 Ste 300
Union, KY 41091-8759

Mailing address

8667 US Highway 42 Ste 300
Union, KY 41091-8759
Phone (859) 384-2550

Other identifiers 3

IdentifierTypeStateIssuer
2490004MedicaidOH
200407230MedicaidIN
64012412MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robinw@union.pcc-direct.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104004259 FL Practitioner - Pediatric Medicine 9638160146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Health Alliance, LLC Pediatrics CurrentSince Dec 3, 2023 Accepting new patients
Union Pediatrics, PSC Pediatrics CurrentSince Jul 5, 2020 Accepting new patients
Summit Medical Group, Inc Pediatrics Past Accepting new patients
Summit Medical Group, Inc. Past Accepting new patients

Locations

10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100

9145 Narcoossee Rd
Ste 103
Orlando, FL 32827
Phone (407) 243-2040

1717 S Orange Ave
Ste 200
Orlando, FL 32806
Phone (407) 650-7033

400 Avenue K SE
Ste 6
Winter Haven, FL 33880
Phone (863) 229-4567

2012 Callie Way
Ste 102
Union, KY 41091

8667 US Highway 42
Ste 300
Union, KY 41091
Phone (859) 384-2550

Interoperability endpoints

  • Direct secure messaging: rwarner111037@direct.nemours.org

Organizations & group practices 4

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1255394532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8667 US HIGHWAY 42 STE 300",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410918759",
            "telephone_number": "859-384-2550",
            "fax_number": "859-384-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8667 US HIGHWAY 42 STE 300",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410918759",
            "telephone_number": "859-384-2550",
            "fax_number": "859-384-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "ROBIN",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "35665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2490004",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200407230",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64012412",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robinw@union.pcc-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8667 US Highway 42 Ste 300",
            "city": "Union",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410918759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Union, KY

Sources for this page

Verify at the official NPI Registry.