Individual provider Active NPI

Roberta K Rexroth, ARNP

  • Adult Health Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1992921977
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
912712-ARNP Issued in FL
Practice address
4644 Keysville Ave
Spring Hill, FL 34608-3515
Phone
(352) 666-4216
Fax
(352) 666-4216
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 912712-ARNP FL Primary

Addresses

Primary practice location

4644 Keysville Ave
Spring Hill, FL 34608-3515

Mailing address

9256 Birmingham Ave
Weeki Wachee, FL 34613-4424
Phone (352) 596-0907

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

LicenseStateTypeSpecialty
912712-ARNPFLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992921977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9256 BIRMINGHAM AVE",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346134424",
            "telephone_number": "352-596-0907",
            "fax_number": "352-597-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 KEYSVILLE AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346083515",
            "telephone_number": "352-666-4216",
            "fax_number": "352-666-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REXROTH",
        "first_name": "ROBERTA",
        "middle_name": "K",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "912712-ARNP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.