Robin Annette Hall, D.O.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

H6268 Issued in TX

Practice address

900 E Southlake Blvd
Suite 200
Southlake, TX 76092-6375

Phone

(817) 310-6050

Fax

(817) 310-6051

NPI assigned

Jan 18, 2007

Last updated

Nov 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2012 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Destination Health

  • Adult Medicine Physician
  • Southlake, TX
  • NPI 1346646528
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1285787085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E SOUTHLAKE BLVD",
            "address_2": "SUITE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926375",
            "telephone_number": "817-310-6050",
            "fax_number": "817-310-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E SOUTHLAKE BLVD",
            "address_2": "SUITE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926375",
            "telephone_number": "817-310-6050",
            "fax_number": "817-310-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ROBIN",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "H6268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Habeeb, LPC-ASSOCIATE
• Evelyn Hagedoorn
• Tina Haitz
• Mallory Renae Hale, PMHNP-BC
• April Haley, LMFT
• Victoria Hall, DPT
• Cathleen Shannon Hamby
• Linsey Hammon, MS, CCLS
• Marla B. Hampton, PT
• Lakerrica Janell Hancock-Allen

• Adult Medicine Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Adult Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.