Individual provider Active NPI

Robin G Viglianco, NP

  • Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1275891699
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F0412050 Issued in MS
Practice address
15200 Community Rd
4TH Floor
Gulfport, MS 39503-3085
Phone
(228) 575-7243
Fax
(228) 575-7420
NPI assigned
Apr 24, 2012
Last updated
Apr 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F0412050 MS Primary

Addresses

Primary practice location

15200 Community Rd
4TH Floor
Gulfport, MS 39503-3085

Mailing address

15200 Community Rd
4TH Floor
Gulfport, MS 39503-3085
Phone (228) 575-7243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20120716000215 MS Practitioner - Nurse Practitioner 9739345935 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0412050MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Sep 11, 2021 Accepting new patients
Singing River Health System CurrentSince Sep 11, 2021 Accepting new patients
Singing River Gulfport CurrentSince Sep 22, 2021 Accepting new patients
Singing River Gulfport CurrentSince Sep 22, 2021 Accepting new patients
Saad Enterprises, Inc. CurrentSince Aug 21, 2019 Accepting new patients

Locations

1515 S University Blvd
Mobile, AL 36609
Phone (251) 287-8886

10598 Diberville Blvd
Diberville, MS 39540
Phone 2513439600 ext. 8886

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

15200 Community Rd
Fl 4
Gulfport, MS 39503
Phone (228) 575-7243

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363

3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1275891699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 COMMUNITY RD",
            "address_2": "4TH FLOOR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033085",
            "telephone_number": "228-575-7243",
            "fax_number": "228-575-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 COMMUNITY RD",
            "address_2": "4TH FLOOR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033085",
            "telephone_number": "228-575-7243",
            "fax_number": "228-575-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGLIANCO",
        "first_name": "ROBIN",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "F0412050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.