Individual provider Active NPI

Sophonie Robinson

  • Family Nurse Practitioner
  • Cocoa Beach, FL
National Provider Identifier
1689300576
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028874 Issued in FL
Practice address
30 Woodland Avenue
Ste a
Cocoa Beach, FL 32931-2886
Phone
(321) 613-2004
Fax
(321) 613-2031
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 RN9407537 FL
Family Nurse Practitioner 363LF0000X APRN11028874 FL Primary

Addresses

Primary practice location

30 Woodland Avenue
Ste a
Cocoa Beach, FL 32931-2886

Mailing address

30 Woodland Avenue
Ste a
Cocoa Beach, FL 32931-2886
Phone (321) 613-2004

Other practice location 1

12201 Research Pkwy Ste 300
Orlando, FL 32826-3265
Phone (407) 823-2744

Other practice location 2

260 N Tropical Trl
Ste 104
Merritt Island, FL 32953-4800
Phone (321) 613-2004

Other practice location 3

515 N Harbor City Blvd
Ste B
Melbourne, FL 32935-6870
Phone (321) 613-2004

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
I20231212000485 FL Practitioner - Nurse Practitioner 5991154239 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9407537FLMDRegistered Nurse
APRN11028874FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocket Health Care LLC CurrentSince Dec 18, 2023 Accepting new patients

Locations

30 Woodland Ave
Ste A
Cocoa Beach, FL 32931
Phone (321) 613-2004

515 N Harbor City Blvd
Ste B
Melbourne, FL 32935
Phone (321) 613-2004

260 N Tropical Trl
Ste 104
Merritt Island, FL 32953
Phone (321) 613-2004

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1689300576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WOODLAND AVENUE",
            "address_2": "STE A",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312886",
            "telephone_number": "321-613-2004",
            "fax_number": "321-613-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WOODLAND AVENUE",
            "address_2": "STE A",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312886",
            "telephone_number": "321-613-2004",
            "fax_number": "321-613-2031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12201 Research Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328263265",
            "country_code": "US",
            "telephone_number": "407-823-2744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 N Tropical Trl",
            "address_2": "Ste 104",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329534800",
            "country_code": "US",
            "telephone_number": "321-613-2004",
            "fax_number": "321-613-2031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 N Harbor City Blvd",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329356870",
            "country_code": "US",
            "telephone_number": "321-613-2004",
            "fax_number": "321-613-2031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SOPHONIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9407537",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.