Karen Lee Robertson, CDP

Primary specialty

SpecialistTaxonomy code 174400000X

License

CP00002814 Issued in WA

Practice address

4480 Tolt Ave
Carnation, WA 98014

Phone

(425) 333-5426

NPI assigned

Jan 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Snoqualmie Tribe Chemical Dependency Program

  • Addiction (Substance Use Disorder) Counselor
  • Carnation, WA
  • NPI 1487700100
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043365125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12104 SE 44TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061912",
            "telephone_number": "425-333-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 TOLT AVE",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "98014",
            "telephone_number": "425-333-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KAREN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "CP00002814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DASA",
            "identifier": "113500",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEMICAL DEPENDENCY",
            "identifier": "1994680",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Price, D.C.
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• Susan Kay Robins, DDS
• Asia Rush, LMP
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• Sno-Valley Adult Day Health
• Snovalley Wellness Therapy

• Specialist in Carnation, WA
• Providers in Carnation, WA by specialty
• Specialist in Washington

• 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.