Individual provider Active NPI

Robin Tiffany Burns-Thigpen, PA-C

  • Medical Physician Assistant
  • Dover, FL
National Provider Identifier
1992955876
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 9104700 Issued in FL
Practice address
14254 Dr Martin Luther King Jr Blvd
Dover, FL 33527-4414
Phone
(813) 349-7700
NPI assigned
Sep 26, 2008
Last updated
Apr 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 9104700 FL Primary

Addresses

Primary practice location

14254 Dr Martin Luther King Jr Blvd
Dover, FL 33527-4414

Mailing address

14254 Dr. Martin Luther King Jr. Boulevard
Dover, FL 33527-2902

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
I20141110001191 FL Practitioner - Physician Assistant 3072735992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14254 Martin Luther King Blvd
Dover, FL 33527-4414
Phone (813) 653-6100

14254 Sr
Suite 574
Dover, FL 33527-4414
Phone (813) 653-6100

801 E Baker St
Plant City, FL 33563-3652
Phone (813) 653-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9104700FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Community Health Centers Inc CurrentSince Oct 20, 2008 Accepting new patients
Suncoast Community Health Centers, Inc CurrentSince Oct 20, 2008 Accepting new patients
Suncoast Community Health Centers Inc Past Accepting new patients
Suncoast Community Health Centers Inc Past Accepting new patients

Locations

14254 Martin Luther King Blvd
Dover, FL 33527
Phone (813) 349-7700

801 E Baker St
Plant City, FL 33563
Phone (813) 349-7649

13110 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 349-7567

2814 14th Ave SE
Ruskin, FL 33570
Phone (813) 349-7800

Interoperability endpoints

  • Direct secure messaging: robin.burnsthigpen@suncoastchc.eclinicaldirectplus.com

Organizations & group practices 4

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": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1992955876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14254 DR. MARTIN LUTHER KING JR. BOULEVARD",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "335272902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14254 DR MARTIN LUTHER KING JR BLVD",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "335274414",
            "telephone_number": "813-349-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS-THIGPEN",
        "first_name": "ROBIN",
        "middle_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9104700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, FL

Sources for this page

Verify at the official NPI Registry.