Organization Active NPI

Healthcare Extraordinare, LLC

  • Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1780273474
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
HEALTHCARE EXTRAORDINARE, LLC
Doing business as
Healthcare ExtraOrdinare, LLC
Practice address
3154 Highland Grove Dr
Orange Park, FL 32065-6855
Phone
(904) 613-6974
Fax
(904) 375-2012
NPI assigned
Jan 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Dr. Tana Robinson, APRNNPI 1992953863
Title
DNP/Aprn
Phone
(904) 613-3974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

3154 Highland Grove Dr
Orange Park, FL 32065-6855

Mailing address

3154 Highland Grove Dr
Orange Park, FL 32065-6855
Phone (904) 613-6974

Other names 1

  • Healthcare ExtraOrdinare, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Desktop Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210615003500 FL Part B Supplier - Clinic/Group Practice 4385044130 Receives reassigned benefits from 1 practitioner
Practice locations: Orange Park, FL

National Provider Directory

National Provider Directory

Locations

1532 Kingsley Ave
Ste 109
Orange Park, FL 32073
Phone (904) 644-7536

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1780273474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 HIGHLAND GROVE DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320656855",
            "telephone_number": "904-613-6974",
            "fax_number": "904-375-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 HIGHLAND GROVE DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320656855",
            "telephone_number": "904-613-6974",
            "fax_number": "904-375-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE EXTRAORDINARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-16",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TANA",
        "authorized_official_title_or_position": "DNP/APRN",
        "authorized_official_telephone_number": "904-613-3974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3154 Highland Grove Dr",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320656855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healthcare ExtraOrdinare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.