Active NPI
Stacey J Robinson, MD
- Family Medicine Physician
- Saint Petersburg, FL
National Provider Identifier
1528128733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME86818
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A64642 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palms of Pasadena Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Soteria Family Medicine PA | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba Robinson Concierge Medicine
- Primary Care Clinic/Center
- Saint Petersburg, FL
- NPI 1417237678
-
- Emergency Medicine Physician
- South Pasadena, FL
- NPI 1164436341
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.