Robert R. Nooney, DO, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OPO00001277 Issued in WA

Legal business name

ROBERT R. NOONEY, DO, PLLC

Doing business as

Capital Family Care and Sports Medicine

Practice address

410-A Black Hills Lane SW
Olympia, WA 98502-2300

Phone

(360) 754-2300

Fax

(360) 754-1044

NPI assigned

Nov 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Roscoe Nooney, D.O.NPI 1558389544

Title

Owner/Physician

Phone

(360) 754-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Capital Family Care and Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Roscoe Nooney, D.O.

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1558389544
  Medicare reassignment Authorized official
• Tanele M Cook, ARNP

  • Women's Health Nurse Practitioner
  • Olympia, WA
  • NPI 1710634464
  Medicare reassignment NPD
• Margaret Marie Hennessey, FNP

  • Family Nurse Practitioner
  • Olympia, WA
  • NPI 1225328248
  Medicare reassignment NPD

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1700031317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11392",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985081392",
            "telephone_number": "360-754-2300",
            "fax_number": "360-754-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410-A BLACK HILLS LANE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022300",
            "telephone_number": "360-754-2300",
            "fax_number": "360-754-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R. NOONEY, DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "NOONEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ROSCOE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "360-754-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OPO00001277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083021",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Family Care and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karriann Marie Rizzieri, LMP
• Leah Crystal Roadman
• Joey Robello
• Robert G.R. Lang, M.D., Inc., P.S.
• Robert GR Lang, MD Inc PS (Olympia Ambulatory Neurosurgery Center)
• Robert T Carsley MD MC PS
• Amie Roberts, LMHC
• Anne M Roberts, LICSW
• Jade Roberts
• Janai Lynn Roberts, ATC

• Family Medicine Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.