Kelly Marie Robbins, L. I. S. W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-05843 Issued in NM

Practice address

232 E Circle Dr
Ruidoso Downs, NM 88346-9545

Phone

(575) 378-8985

NPI assigned

Feb 17, 2010

Sex

Female

Sole proprietor

Yes

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1881916807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 46 BOX 667",
            "city": "RUIDOSO DOWNS",
            "state": "NM",
            "postal_code": "883469613",
            "telephone_number": "575-378-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E CIRCLE DR",
            "city": "RUIDOSO DOWNS",
            "state": "NM",
            "postal_code": "883469545",
            "telephone_number": "575-378-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L. I. S. W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-05843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Goddard
• Johnny Ray Long
• National Vision, Inc.
• Joy Preisser, R.PH.
• Jocelyne Rincon
• Richard Aaron Roberts, RPH
• Ruidoso National Optical Center
• Wal-Mart Stores East LP
• Wal-Mart Stores, Inc.

• All providers in Ruidoso Downs, NM
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.