Individual provider Active NPI

Robert Raymond Nebus

  • Licensed Practical Nurse
  • Tampa, FL
National Provider Identifier
1982538898
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5255057 Issued in FL
Practice address
4446 E Fletcher Ave Ste a
Tampa, FL 33613-4942
Phone
(813) 971-6700
Fax
(813) 977-1352
NPI assigned
Jun 9, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5255057 FL Primary

Addresses

Primary practice location

4446 E Fletcher Ave Ste a
Tampa, FL 33613-4942

Mailing address

1212 NW 30TH Ave
Gainesville, FL 32609-2809

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Health Care Alliance, PA PastSince Aug 28, 2021 Accepting new patients
Pediatric Health Care Alliance, PA Past Accepting new patients

Organizations & group practices 2

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": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1982538898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 NW 30TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4446 E FLETCHER AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134942",
            "telephone_number": "813-971-6700",
            "fax_number": "813-977-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBUS",
        "first_name": "ROBERT",
        "middle_name": "RAYMOND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5255057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.