Active NPI
Shayna Maria Robnett, CO 60639490
- Substance Use Disorder Rehabilitation Clinic/Center
- Port Angeles, WA
National Provider Identifier
1881130128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- CO 60639490
- Practice address
- 933 E 1St St
Port Angeles, WA 98362-4012 - Phone
- (360) 452-4432
- NPI assigned
- Jan 10, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | CO 60639490 | WA | Primary |
Addresses
Primary practice location
933 E 1St St
Port Angeles, WA 98362-4012
Mailing address
933 E 1St St
Port Angeles, WA 98362-4012
Phone (360) 452-4432
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO 60639490 | WA | MD | Substance Use Disorder Rehabilitation Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1881130128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 E 1ST ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983624012",
"telephone_number": "360-452-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 E 1ST ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983624012",
"telephone_number": "360-452-4432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBNETT",
"first_name": "SHAYNA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "CO 60639490",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-10",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "WA",
"license": "CO 60639490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.