Individual provider Active NPI

Robin Davenport, ARNP

  • Women's Health Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1700335957
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP2574192 Issued in FL
Practice address
5434 NW 48TH St
Coconut Creek, FL 33073-3314
Phone
(954) 596-5948
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP2574192 FL Primary

Addresses

Primary practice location

5434 NW 48TH St
Coconut Creek, FL 33073-3314

Mailing address

5434 NW 48TH St
Coconut Creek, FL 33073-3314
Phone (954) 596-5948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170524001347 FL Practitioner - Nurse Practitioner 3274800149 Reassigns benefits to 1 organization
I20220615001749 WA Practitioner - Nurse Practitioner 3274800149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute for Women'S Health and Body LLCGroup PAC ID 2264752443, 49 clinicians

Practice addresses (Care Compare)

1395 S State Rd
7 Suite 450
Wellington, FL 33414-9328
Phone (561) 798-1233

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince May 2, 2022 Accepting new patients
Multicare Health System CurrentSince May 2, 2022 Accepting new patients
Seth J Herbst MD PA PastSince May 15, 1997 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: robin.davenport@hca4.eclinicaldirectplus.com

Organizations & group practices 5

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": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1700335957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5434 NW 48TH ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733314",
            "telephone_number": "954-596-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5434 NW 48TH ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733314",
            "telephone_number": "954-596-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "ROBIN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP2574192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.