Individual provider Active NPI

Carla Janese Robertson, APRN

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1891345567
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004110 Issued in FL
Practice address
3721 N Monroe St
Tallahassee, FL 32303-2740
Phone
(850) 562-0281
Fax
(850) 562-0295
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01191844 AL
Family Nurse Practitioner 363LF0000X 11004110 FL Primary

Addresses

Primary practice location

3721 N Monroe St
Tallahassee, FL 32303-2740

Mailing address

2804 Remington Green Cir Ste 2
Tallahassee, FL 32308-1550
Phone (850) 385-4494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191009003167 FL Practitioner - Nurse Practitioner 9931430782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3721 N Monroe St
Tallahassee, FL 32303-2740
Phone 8505620281850562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F01191844ALMDFamily Nurse Practitioner
11004110FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Medical Centers, Inc. Current Accepting new patients
North Florida Medical Centers, Inc. CurrentSince Sep 23, 2019 Accepting new patients
North Florida Medical Centers, Inc Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
North Florida Medical Centers Inc Past Accepting new patients
North Florida Medical Centers Inc Past Accepting new patients

Locations

1328 Coastal Hwy
Panacea, FL 32346
Phone (850) 984-4735

1249 Strong Rd
Quincy, FL 32351
Phone (850) 875-9500

2804 Remington Green Cir
Ste 2
Tallahassee, FL 32308

3721 N Monroe St
Tallahassee, FL 32303
Phone (850) 562-0281

Interoperability endpoints

  • Direct secure messaging: carla.robertson@nfmc.eclinicaldirectplus.com

Organizations & group practices 6

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1891345567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 REMINGTON GREEN CIR STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081550",
            "telephone_number": "850-385-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 N MONROE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323032740",
            "telephone_number": "850-562-0281",
            "fax_number": "850-562-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CARLA",
        "middle_name": "JANESE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F01191844",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.