Active NPI
Diane K Robbins, MA, CCC-SLP
- Speech-Language Pathologist
- Star Valley Ranch, WY
National Provider Identifier
1184964561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-567
- Practice address
- HC 62 Box 7388
Star Valley Ranch, WY 83127-7004 - Phone
- (307) 883-0350
- NPI assigned
- Feb 22, 2013
- Last updated
- Feb 22, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-567 | WY | Primary |
| Speech-Language Pathologist | 235Z00000X | SLP-1980 | ID |
Addresses
Primary practice location
HC 62 Box 7388
Star Valley Ranch, WY 83127-7004
Mailing address
1790 Clark Lane
Star Valley Ranch, WY 83127-7004
Phone (307) 883-0350
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-1980 | ID | MD | Speech-Language Pathologist |
| SP-567 | WY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1184964561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 CLARK LANE",
"city": "STAR VALLEY RANCH",
"state": "WY",
"postal_code": "831277004",
"telephone_number": "307-883-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 62 BOX 7388",
"city": "STAR VALLEY RANCH",
"state": "WY",
"postal_code": "831277004",
"telephone_number": "307-883-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "DIANE",
"middle_name": "K",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-22",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WY",
"license": "SP-567",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-1980",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Star Valley Ranch, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.