Individual provider Active NPI

Robin Holloway, ARNP

  • Adult Health Nurse Practitioner
  • Lecanto, FL
National Provider Identifier
1629468400
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9212645 Issued in FL
Practice address
2349 N Lecanto Hwy Unit B
Lecanto, FL 34461-6102
Phone
(352) 444-9868
Fax
(352) 358-2996
NPI assigned
Jan 30, 2015
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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 ARNP9212645 FL Primary

Addresses

Primary practice location

2349 N Lecanto Hwy Unit B
Lecanto, FL 34461-6102

Mailing address

2349 N Lecanto Hwy Unit B
Lecanto, FL 34461-6102
Phone (352) 444-9868

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
I20200205000465 FL Practitioner - Nurse Practitioner 4183050479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2349 N Lecanto Hwy
Unit B
Lecanto, FL 34461-6102
Phone (352) 444-9868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9212645FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Functional Medicine CurrentSince Feb 1, 2023 Accepting new patients

Locations

330 S Line Ave
Inverness, FL 34452
Phone (352) 444-9868

2349 N Lecanto Hwy
Unit B
Lecanto, FL 34461
Phone (352) 444-9868

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1629468400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 N LECANTO HWY UNIT B",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344616102",
            "telephone_number": "352-444-9868",
            "fax_number": "352-358-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 N LECANTO HWY UNIT B",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344616102",
            "telephone_number": "352-444-9868",
            "fax_number": "352-358-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "ROBIN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9212645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

Verify at the official NPI Registry.