Individual provider Active NPI

Robin Lane Zellhoefer

  • Speech-Language Pathologist
  • Gulf Breeze, FL
National Provider Identifier
1720547094
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9647 Issued in FL
Practice address
50 Joachim Dr
Gulf Breeze, FL 32561-4474
Phone
(800) 444-6845
NPI assigned
Mar 17, 2019
Last updated
Apr 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA9647 FL Primary

Addresses

Primary practice location

50 Joachim Dr
Gulf Breeze, FL 32561-4474

Mailing address

6740 Indian St
Navarre, FL 32566-8206
Phone (850) 776-9021

Other practice location 1

6740 Indian St
Navarre, FL 32566-8206
Phone (850) 776-9021

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA9647FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1720547094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 INDIAN ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325668206",
            "telephone_number": "850-776-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 JOACHIM DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614474",
            "telephone_number": "800-444-6845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6740 Indian St",
            "address_purpose": "LOCATION",
            "city": "Navarre",
            "state": "FL",
            "postal_code": "325668206",
            "country_code": "US",
            "telephone_number": "850-776-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELLHOEFER",
        "first_name": "ROBIN",
        "middle_name": "LANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-17",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.