Active NPI
Alma Delia Robles, RN
- Mental Illness Community Based Residential Treatment Facility
- Grants Pass, OR
National Provider Identifier
1093085573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 200642822RN
- Practice address
- 711 Ramsey Ave
Grants Pass, OR 97527 - Phone
- (541) 479-5901
- NPI assigned
- Dec 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 200642822RN | OR | Primary |
Addresses
Primary practice location
711 Ramsey Ave
Grants Pass, OR 97527
Mailing address
3469 Denver Park
Klamath Falls, OR 97603
Phone (541) 281-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YMO800X | Other | OR | SOASTC |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200642822RN | OR | MD | Mental Illness Community Based Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325203200000",
"number": "1093085573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3469 DENVER PARK",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "97603",
"telephone_number": "541-281-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 RAMSEY AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "97527",
"telephone_number": "541-479-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "ALMA",
"middle_name": "DELIA",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-30",
"last_updated": "2011-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "OR",
"license": "200642822RN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOASTC",
"identifier": "101YMO800X",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.