Provider Demographics
NPI:1831127117
Name:ROBINS, KATHERINE J (PMHNP, CNM)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:J
Last Name:ROBINS
Suffix:
Gender:F
Credentials:PMHNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 CONROY WINDERMERE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-8431
Mailing Address - Country:US
Mailing Address - Phone:407-638-8903
Mailing Address - Fax:407-602-0797
Practice Address - Street 1:9100 CONROY WINDERMERE RD STE 200
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-8431
Practice Address - Country:US
Practice Address - Phone:407-638-8903
Practice Address - Fax:407-602-0797
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61330389363LP0808X
OR200450055NP363LP0808X, 367A00000X
AK198951363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORQ23711Medicare UPIN