Scott Robertson Jr., CG60940327

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

151 N Market Blvd Ste D
Chehalis, WA 98532-2677

Phone

(360) 948-0288

NPI assigned

Mar 1, 2019

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1326505926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JALYN ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311730",
            "telephone_number": "360-807-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N MARKET BLVD STE D",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322677",
            "telephone_number": "360-948-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CG60940327",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR AGENCY AFFILIATED REGISTRATION",
            "identifier": "CG60940327",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Amargo Rivera, PHARM D
• Dominique D Rivers, OD
• Ashley Marie Roady, ARNP
• Kirsten Alexandra Robbins, CNA
• Sarah Elizabeth Robbins
• Rachel Robidoux, SUDPT
• Shelbie May Robinson, AAC
• Tara Lynn Robinson, AAC
• Stacy Robson, RN
• Courtney L Rockwood, RN

• Peer Specialist in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.