Individual provider Active NPI

Timothy Allen Roberts, ARNP

  • Family Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1588106934
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP918240 Issued in FL
Practice address
910 Old Camp Rd Ste 114
The Villages, FL 32162-5605
Phone
(352) 259-4322
Fax
(352) 259-3882
NPI assigned
Nov 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP918240 FL Primary

Addresses

Primary practice location

910 Old Camp Rd Ste 114
The Villages, FL 32162-5605

Mailing address

910 Old Camp Rd Ste 114
The Villages, FL 32162-5605
Phone (352) 259-4322

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220624000051 FL Practitioner - Nurse Practitioner 0941689772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Cardiology Consultants, PLLCGroup PAC ID 6103710835, 48 clinicians

Practice addresses (Care Compare)

801 E Dixie
Suite 107
Leesburg, FL 34748-7601
Phone (352) 315-0627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP918240FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Cardiology Consultants, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Citrus Cardiology Consultants, PLLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

308 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-8353

801 E Dixie Ave
Ste 107
Leesburg, FL 34748
Phone (352) 315-0627

1879 Nightingale Ln
Ste B2
Tavares, FL 32778
Phone (352) 253-0168

910 Old Camp Rd
Ste 210
The Villages, FL 32162
Phone (352) 530-2256

5575 E State Road 44
Wildwood, FL 34785
Phone (352) 571-4418

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGIAD

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1588106934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD STE 114",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625605",
            "telephone_number": "352-259-4322",
            "fax_number": "352-259-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD STE 114",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625605",
            "telephone_number": "352-259-4322",
            "fax_number": "352-259-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP918240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.