Individual provider Active NPI

Robin Wood Stuckey, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • San Antonio, FL
National Provider Identifier
1669110698
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019312 Issued in FL
Practice address
30115 State Road 52 Ste 101
San Antonio, FL 33576-8243
Phone
(813) 467-4244
Fax
(813) 467-4246
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11019312 FL
Family Nurse Practitioner 363LF0000X APRN11019312 FL Primary

Addresses

Primary practice location

30115 State Road 52 Ste 101
San Antonio, FL 33576-8243

Mailing address

30115 State Road 52 Ste 101
San Antonio, FL 33576-8243
Phone (813) 467-4244

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
I20220623000416 FL Practitioner - Nurse Practitioner 9830578780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11019312FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Family CurrentSince Jul 17, 2022 Accepting new patients
Florida Hospital Zephyrhills Inc PastSince Jul 17, 2022 Accepting new patients

Locations

13100 Fort King Rd
Dade City, FL 33525
Phone (352) 521-1100

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

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": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1669110698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30115 STATE ROAD 52 STE 101",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "335768243",
            "telephone_number": "813-467-4244",
            "fax_number": "813-467-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30115 STATE ROAD 52 STE 101",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "335768243",
            "telephone_number": "813-467-4244",
            "fax_number": "813-467-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "ROBIN",
        "middle_name": "WOOD",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11019312",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, FL

Sources for this page

Verify at the official NPI Registry.