Individual provider Active NPI

Thelma Robidart, FNP-BC

  • Family Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1669990859
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1079652 Issued in AL
Practice address
701 Leighton Ave
Anniston, AL 36207-5745
Phone
(256) 231-1231
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1079652 AL
Family Nurse Practitioner 363LF0000X 1079652 AL Primary

Addresses

Primary practice location

701 Leighton Ave
Anniston, AL 36207-5745

Mailing address

136 Hallman Dr
Sylacauga, AL 35150-9642
Phone (205) 587-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180327000054 AL Practitioner - Nurse Practitioner 9032471321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1648 Pelham Rd S
Jacksonville, AL 36265-3312
Phone (251) 237-8181

202 State Farm Pkwy
Homewood, AL 35209-7181
Phone (205) 719-8465

332 Marketplace Cir
Calera, AL 35040-8210
Phone (205) 386-2018

41357 US Hwy 280
Sylacauga, AL 35150-8046
Phone (931) 253-1110

416 N Seminary St
Suite 1100
Florence, AL 35630-6411
Phone (931) 253-1110

6734 Old Springville Rd
Pinson, AL 35126-3046
Phone (205) 635-2501

9149 Hwy 119
Alabaster, AL 35007-5342
Phone (659) 242-5456

9171 Hwy 119
Alabaster, AL 35007-5342
Phone (659) 242-5456

998 2ND Ave E
Oneonta, AL 35121-2506
Phone (205) 395-5014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1079652ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 17, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 17, 2022 Accepting new patients
Medical Pain Management,PC PastSince Jan 21, 2018 Accepting new patients

Locations

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

Organizations & group practices 3

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1669990859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 HALLMAN DR",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351509642",
            "telephone_number": "205-587-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075745",
            "telephone_number": "256-231-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBIDART",
        "first_name": "THELMA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1079652",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1079652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.