Inspired Functional Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

INSPIRED FUNCTIONAL MEDICINE

Practice address

330 S Line Ave
Inverness, FL 34452-4606

Phone

(352) 444-9868

Fax

(352) 358-2966

NPI assigned

Jun 28, 2022

Last updated

May 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robin Holloway, DNP, APRN, NP-CNPI 1629468400

Title

Owner

Phone

(352) 613-0997

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin Holloway, ARNP

  • Adult Health Nurse Practitioner
  • Lecanto, FL
  • NPI 1629468400
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1700518818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 N LECANTO HWY UNIT B",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344616102",
            "telephone_number": "352-444-9868",
            "fax_number": "352-358-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S LINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524606",
            "telephone_number": "352-444-9868",
            "fax_number": "352-358-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED FUNCTIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-613-0997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Inverness, FL
• Providers in Inverness, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.