Robin Lee Nielsen, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP600027730 Issued in WA

Practice address

18490 Suquamish Way NE Unit 107
Suquamish, WA 98392-9533

Phone

(360) 394-8558

Fax

(360) 598-1724

NPI assigned

Jan 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Suquamish Tribal

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Suquamish, WA
  • NPI 1083747216

  Addiction (Substance Use Disorder)

  NPD (past)
• Suquamish Tribal

  • General Practice Physician
  • Suquamish, WA
  • NPI 1114674942
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1033480579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983921228",
            "telephone_number": "360-394-8558",
            "fax_number": "360-598-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18490 SUQUAMISH WAY NE UNIT 107",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983929533",
            "telephone_number": "360-394-8558",
            "fax_number": "360-598-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "ROBIN",
        "middle_name": "LEE",
        "credential": "CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP600027730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Boltwood , Inc
• Frances Galasyn Miller, MPH, RDN
• Martha Jo Mitchell-Colby
• Joseph Montalbo, CDP
• Elizabeth Marie Napoleon, CO
• Olivia Estelle Ponce, MSW, CADC II
• Saskia Postma, PT
• Joshua Bruce Reynolds, MACP
• William Scott, CDP
• Sarah Sense-Wilson

• Addiction (Substance Use Disorder) Counselor in Suquamish, WA
• Providers in Suquamish, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.