Individual provider Active NPI

Robert Tang Bau

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1952001349
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11025031 Issued in FL
Practice address
410 S Ware Blvd Ste 607
Tampa, FL 33619-8402
Phone
(305) 209-4966
Fax
(786) 705-7942
NPI assigned
Mar 6, 2023
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11025031 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11025031 FL Primary

Addresses

Primary practice location

410 S Ware Blvd Ste 607
Tampa, FL 33619-8402

Mailing address

12247 Cattleside Dr
Riverview, FL 33579-6883
Phone (786) 325-7643

Other practice location 1

179 Flanders Rd
Niantic, CT 06357-1206
Phone (305) 209-4966

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
I20240123002147 FL Practitioner - Nurse Practitioner 2769834068 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11025031FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 13, 2023 Accepting new patients
Icare Psychiatry PLLC Psychiatric/Mental Health CurrentSince Oct 17, 2024 Accepting new patients
Florida Psychiatry Group, PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

179 Flanders Rd
Niantic, CT 06357
Phone (860) 437-2341

8350 NW 52nd Ter
Ste 301
Doral, FL 33166
Phone (305) 463-6600

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

410 S Ware Blvd
Ste 607
Tampa, FL 33619
Phone (305) 209-4966

Organizations & group practices 3

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1952001349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12247 CATTLESIDE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335796883",
            "telephone_number": "786-325-7643",
            "fax_number": "786-705-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S WARE BLVD STE 607",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198402",
            "telephone_number": "305-209-4966",
            "fax_number": "786-705-7942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "179 Flanders Rd",
            "address_purpose": "LOCATION",
            "city": "Niantic",
            "state": "CT",
            "postal_code": "063571206",
            "country_code": "US",
            "telephone_number": "305-209-4966",
            "fax_number": "786-705-7942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG BAU",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11025031",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11025031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.