Individual provider Active NPI

Stacey J Robinson, MD

  • Family Medicine Physician
  • Saint Petersburg, FL
National Provider Identifier
1528128733
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME86818 Issued in FL
Practice address
200 Central Ave Ste 810
Saint Petersburg, FL 33701-3567
Phone
(727) 329-8859
Fax
(727) 825-0330
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME86818 FL
Emergency Medicine Physician 207P00000X A64642 CA
Family Medicine Physician 207Q00000X ME86818 FL Primary

Addresses

Primary practice location

200 Central Ave Ste 810
Saint Petersburg, FL 33701-3567

Mailing address

200 Central Ave Ste 810
Saint Petersburg, FL 33701-3567
Phone (727) 329-8859

Other practice location 1

1501 Pasadena Ave S
South Pasadena, FL 33707-3717
Phone (727) 341-7777

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: 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 Jul 1, 2013 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A64642CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palms of Pasadena Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Soteria Family Medicine PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stacey.robinson.1@26505.direct.athenahealth.com

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1528128733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTRAL AVE STE 810",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013567",
            "telephone_number": "727-329-8859",
            "fax_number": "727-825-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTRAL AVE STE 810",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013567",
            "telephone_number": "727-329-8859",
            "fax_number": "727-825-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Pasadena Ave S",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "FL",
            "postal_code": "337073717",
            "country_code": "US",
            "telephone_number": "727-341-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "STACEY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME86818",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A64642",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.