Individual provider Active NPI

Robin Jo Vallebuona, AGNP-C

  • Adult Health Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1427838739
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11028957 Issued in FL
Practice address
2201 Lucien Way Ste 100
Maitland, FL 32751-7003
Phone
(407) 875-0028
NPI assigned
Oct 3, 2023
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11028957 FL Primary

Addresses

Primary practice location

2201 Lucien Way Ste 100
Maitland, FL 32751-7003

Mailing address

2201 Lucien Way Ste 100
Maitland, FL 32751-7003
Phone (407) 875-0028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1427838739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 LUCIEN WAY STE 100",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517003",
            "telephone_number": "407-875-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 LUCIEN WAY STE 100",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517003",
            "telephone_number": "407-875-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEBUONA",
        "first_name": "ROBIN",
        "middle_name": "JO",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11028957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.