Provider Demographics
NPI:1942402268
Name:THOMAS, ROBIN BARNES (PHD,, ARNP)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:BARNES
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHD,, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4026 NE 55TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2262
Mailing Address - Country:US
Mailing Address - Phone:206-985-9989
Mailing Address - Fax:206-708-6099
Practice Address - Street 1:4026 NE 55TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-2262
Practice Address - Country:US
Practice Address - Phone:206-985-9989
Practice Address - Fax:206-708-6099
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00071948163WP0808X
WAAP30007881363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8877626Medicare PIN
WA8868789Medicare PIN