Active NPI
Robin Anne Tangredi, MS FNP-C.
- Family Nurse Practitioner
- Salem, OR
National Provider Identifier
1790346898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10025185
- Practice address
- 702 Church St NE
Salem, OR 97301-2404 - Phone
- (503) 991-5903
- NPI assigned
- Jun 28, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10025185 | OR | Primary |
| Family Nurse Practitioner | 363LF0000X | AP61689018 | WA | |
| Family Nurse Practitioner | 363LF0000X | F344536-01 | NY |
Addresses
Primary practice location
702 Church St NE
Salem, OR 97301-2404
Mailing address
8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Phone (602) 248-8886
Other practice location 1
5130 Evergreen Way
Everett, WA 98203-2875
Phone (425) 683-0800
Other practice location 2
3402 Hammocks Dr Apt 206
Baldwinsville, NY 13027-4216
Phone (315) 200-2687
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F344536-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Services Montana-Private, LLC | Past | Accepting new patients | |
| Community Medical Services Montana Private LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Methadone Clinic
- Salem, OR
- NPI 1568143857
-
- Methadone Clinic
- Eugene, OR
- NPI 1174362776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1790346898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8444 N 90TH ST STE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584437",
"telephone_number": "602-248-8886",
"fax_number": "602-854-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 CHURCH ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012404",
"telephone_number": "503-991-5903"
}
],
"practiceLocations": [
{
"address_1": "5130 Evergreen Way",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982032875",
"country_code": "US",
"telephone_number": "425-683-0800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3402 Hammocks Dr Apt 206",
"address_purpose": "LOCATION",
"city": "Baldwinsville",
"state": "NY",
"postal_code": "130274216",
"country_code": "US",
"telephone_number": "315-200-2687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANGREDI",
"first_name": "ROBIN",
"middle_name": "ANNE",
"credential": "MS FNP-C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-28",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10025185",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61689018",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F344536-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.