Robin Lynn Puckett, MAPC LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC12884 Issued in AZ

Practice address

17505 N 79TH Ave Ste 311G
Glendale, AZ 85308-8730

Phone

(623) 876-2029

NPI assigned

Feb 1, 2018

Last updated

Feb 1, 2018By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1881193175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5836",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853765836",
            "telephone_number": "623-694-0866",
            "fax_number": "623-975-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 311G",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088730",
            "telephone_number": "623-876-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "credential": "MAPC LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC12884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Claudette Prose, RN
• Misti L Pruet, RN
• Mihaela Prunean
• David Prutzman, D.O.
• Psychiatric Consultation Services PC
• Ruben D Puha
• Adrian E Pulkrabek, DDS
• Rampung Pulver, RPH
• Sudeep Singh Punia, MD
• Pure Choices LLC

• Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.