Provider Demographics
NPI:1962626093
Name:ROBISON, BARBARA (DSC, MSN, APRN, CNS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:ROBISON
Suffix:
Gender:F
Credentials:DSC, MSN, APRN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 47
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83303-0047
Mailing Address - Country:US
Mailing Address - Phone:208-732-0995
Mailing Address - Fax:208-732-0993
Practice Address - Street 1:493 EASTLAND DR
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-7480
Practice Address - Country:US
Practice Address - Phone:208-732-0995
Practice Address - Fax:208-732-0993
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCNS-12163WP0809X, 364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID002082395OtherFIRST HEALTH
ID26024OtherBPA
ID000010028579OtherREGENCE
ID481086633OtherTAX IDENTIFICATION
ID000010028579OtherBLUE SHIELD
ID805997100Medicaid
ID80705OtherGREAT WESTERN HEALTH
ID26024OtherBPA