Shonverea S Robinson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9329097 Issued in FL

Practice address

630 N Main St
Williston, FL 32696-1705

Phone

(352) 528-0587

Fax

(352) 528-4834

NPI assigned

Jan 3, 2017

Last updated

Sep 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trenton Medical Center IncGroup PAC ID 2365359387, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Trenton Medical Center Inc

  dba Palms Medical Group

  • Federally Qualified Health Center (FQHC)
  • Trenton, FL
  • NPI 1801826268
  Medicare reassignment Care Compare group NPD
• Trenton Medical Center, Inc

  dba Palms Medical Group

  • Federally Qualified Health Center (FQHC)
  • Bell, FL
  • NPI 1164642419
  NPD

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1396280103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23343 NW COUNTY ROAD 236",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326439669",
            "telephone_number": "386-454-0698",
            "fax_number": "386-454-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N MAIN ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326961705",
            "telephone_number": "352-528-0587",
            "fax_number": "352-528-4834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14818 SW 170th St",
            "address_purpose": "LOCATION",
            "city": "Archer",
            "state": "FL",
            "postal_code": "326184622",
            "country_code": "US",
            "telephone_number": "352-256-4008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SHONVEREA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9329097",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9329097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kolli Prabhakara Reddy, MD
• Regional Health Partners LLC (Regional General Hospital)
• Regional Health Partners LLC (Regional General Hospital)
• Regional Health Partners LLC (Regional General Hospital)
• Regional Health Partners LLC (RGH Rural Health Clinic)
• Christian H. Rodriguez
• Kathryn Elizabeth Roe, PT, DPT
• Lawrence C Rush Jr., RPH
• Sanabiz LLC
• Terri Savage, PHARMD

• Family Nurse Practitioner in Williston, FL
• Providers in Williston, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.