Myranda Lynn Roberts, CDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

230 Grant Rd Ste A25
East Wenatchee, WA 98802-7722

Phone

(509) 884-9040

Fax

(509) 884-9041

NPI assigned

Jul 28, 2017

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

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1407370695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 1ST ST APT 16B",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990048816",
            "telephone_number": "253-548-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GRANT RD STE A25",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988027722",
            "telephone_number": "509-884-9040",
            "fax_number": "509-884-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MYRANDA",
        "middle_name": "LYNN",
        "credential": "CDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russ K Reynolds, RT
• Kevin Alan Risdon, CCC SLP
• Charles Riseley, LMHC
• Alan Rivas Parra, DPT
• Tanya Lisette Rivera, M.S., CF-SLP
• Carli Grace Robins, MS, LAT, ATC
• Laree Rumble, M.ED, LMHC
• Russ Reynolds
• Olga A Rybakov, NURSE PRACTIONER
• Safeway Inc

• Addiction (Substance Use Disorder) Counselor in East Wenatchee, WA
• Providers in East Wenatchee, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.