Individual provider Active NPI

Roboam Felix

  • Licensed Practical Nurse
  • Orlando, FL
National Provider Identifier
1669149589
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5206619 Issued in FL
Practice address
3303 Archer Ave
Orlando, FL 32833-4240
Phone
(202) 534-2534
Fax
(407) 513-9601
NPI assigned
Aug 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X PN5206619 FL Primary

Addresses

Primary practice location

3303 Archer Ave
Orlando, FL 32833-4240

Mailing address

3303 Archer Ave
Orlando, FL 32833-4240
Phone (202) 534-2534

Other identifiers 1

IdentifierTypeStateIssuer
PN5206619OtherFLVETERANS AFFAIRS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address roboam.felix@va.gov Direct
Direct Messaging Address roboam.felix@va.gov Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN5206619FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1669149589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 ARCHER AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328334240",
            "telephone_number": "202-534-2534",
            "fax_number": "407-513-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 ARCHER AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328334240",
            "telephone_number": "202-534-2534",
            "fax_number": "407-513-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIX",
        "first_name": "ROBOAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5206619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERANS AFFAIRS",
            "identifier": "PN5206619",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roboam.felix@va.gov",
            "affiliation": "N",
            "endpointDescription": "VA secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3303 Archer Ave",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328334240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roboam.felix@va.gov",
            "affiliation": "N",
            "endpointDescription": "VA secure messaging.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health",
            "address_1": "3303 Archer Ave",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328334240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.