Active NPI
Robin J Underwood, CRNP
- Nurse Practitioner
- Fairhope, AL
National Provider Identifier
1790722924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1035842
- Practice address
- 188 Hospital Dr
Suite 100
Fairhope, AL 36532-2043 - Phone
- (251) 990-9500
- Fax
- (251) 990-9501
- NPI assigned
- May 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1035842 | AL | Primary |
| Family Nurse Practitioner | 363LF0000X | 1-035842 | AL |
Addresses
Primary practice location
188 Hospital Dr
Suite 100
Fairhope, AL 36532-2043
Mailing address
6701 Airport Blvd
Suite D-330
Mobile, AL 36608-6705
Phone (251) 607-9797
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051505706 | Medicaid | AL | |
| 0515-05708 | Other | AL | BLUE CROSS BLUE SHIELD |
Other names 1
- Robin Susanne Underwood
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1035842 | AL | MD | Nurse Practitioner |
| 1-035842 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468454400000",
"number": "1790722924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 AIRPORT BLVD",
"address_2": "SUITE D-330",
"city": "MOBILE",
"state": "AL",
"postal_code": "366086705",
"telephone_number": "251-607-9797",
"fax_number": "251-607-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 HOSPITAL DR",
"address_2": "SUITE 100",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322043",
"telephone_number": "251-990-9500",
"fax_number": "251-990-9501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "ROBIN",
"middle_name": "J",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2016-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1035842",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-035842",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051505706",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0515-05708",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "UNDERWOOD",
"middle_name": "SUSANNE",
"credential": "CRNP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fairhope, AL
- Elizabeth Gaston Tubertini, M.S.
- Rena M Tunstall, MS
- Lori Caroline Turnage
- Katherine Hill Turner, MFT-I
- Daniel Ubokudom, MD
- University of South Alabama Health Care Authority
- Urgent Care of Fairhope LLC
- USA Baldwin County ASC, LLC
- USA Health Daphne Family Practice, LLC
- USA Health Physician Billing Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.