Robin Ann Siefker, RN, BC, MSN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

COA.09528-NP Issued in OH

Practice address

125 Executive Dr
Suite 201
Marion, OH 43302-6285

Phone

(740) 387-3087

Fax

(740) 382-5034

NPI assigned

Jul 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: robin.siefker.p1@direct.centerstreetclinic.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center Street Community Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Marion, OH
  • NPI 1306627476
  NPD (past)
• Lutheran Social Services of Northwestern Ohio

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1881773687
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1730379272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EXECUTIVE DR",
            "address_2": "SUITE 201",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026285",
            "telephone_number": "740-387-3087",
            "fax_number": "740-382-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EXECUTIVE DR",
            "address_2": "SUITE 201",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026285",
            "telephone_number": "740-387-3087",
            "fax_number": "740-382-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEFKER",
        "first_name": "ROBIN",
        "middle_name": "ANN",
        "credential": "RN, BC, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.246544",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA.09528-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBN - PRESCRIPTIVE AUTHOR",
            "identifier": "RX.09528-EX1",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBN -  NURSE PRACTITIONER",
            "identifier": "COA.09528-NP",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH BOARD OF NURSING - OBN",
            "identifier": "RN.246544",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Aaron Shuh, D.O.
• Lindsey Rae Shull, LPN
• Holly Shumaker, LPN
• Elliott D. Shuster
• Amy Marie Sieber, PHARMD
• Sigmund G Gagni DDS LLC
• Cindy Siler
• Endia Dominique Simmons, CDCA
• Dale Simpkins
• Dana Suzanne Simpson, LPN

• Psychiatric/Mental Health Nurse Practitioner in Marion, OH
• Providers in Marion, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.