Individual provider Active NPI

Robin Fabbro, FNP

  • Family Nurse Practitioner
  • Frankenmuth, MI
National Provider Identifier
1275786139
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704224254 Issued in MI
Practice address
600 N Main St
Suite 210
Frankenmuth, MI 48734-1152
Phone
(989) 652-1440
Fax
(989) 652-1430
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 470224254 MI
Family Nurse Practitioner 363LF0000X 4704224254 MI Primary

Addresses

Primary practice location

600 N Main St
Suite 210
Frankenmuth, MI 48734-1152

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 652-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000432 MI Practitioner - Nurse Practitioner 1153581186 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
470224254MIMDRegistered Nurse
4704224254MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. Current Accepting new patients
Covenant Medical Center, Inc CurrentSince Mar 2, 2012 Accepting new patients

Locations

600 N Main St
Ste 210
Frankenmuth, MI 48734
Phone (989) 652-1440

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

Organizations & group practices 2

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": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1275786139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-652-1440",
            "fax_number": "989-652-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "address_2": "SUITE 210",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341152",
            "telephone_number": "989-652-1440",
            "fax_number": "989-652-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABBRO",
        "first_name": "ROBIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "470224254",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704224254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankenmuth, MI

Sources for this page

Verify at the official NPI Registry.