Active NPI
Robin Wintersen-Stock
- Occupational Therapist
- Albuquerque, NM
National Provider Identifier
1174983142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1567
- Practice address
- 6400 Uptown Blvd NE
Suite 360W
Albuquerque, NM 87110-0704 - Phone
- (505) 855-9805
- Fax
- (505) 848-9468
- NPI assigned
- Mar 3, 2016
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1567 | NM | Primary |
Addresses
Primary practice location
6400 Uptown Blvd NE
Suite 360W
Albuquerque, NM 87110-0704
Mailing address
6400 Uptown Blvd NE
Suite 360W
Albuquerque, NM 87110-0704
Phone (505) 855-9805
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1567 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1174983142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 UPTOWN BLVD NE",
"address_2": "SUITE 360W",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871100704",
"telephone_number": "505-855-9805",
"fax_number": "505-848-9468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 UPTOWN BLVD NE",
"address_2": "SUITE 360W",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871100704",
"telephone_number": "505-855-9805",
"fax_number": "505-848-9468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTERSEN-STOCK",
"first_name": "ROBIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-03",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "1567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.