Provider Demographics
NPI:1023255130
Name:WEST, ROBIN L (ARNP FNP BC)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:L
Last Name:WEST
Suffix:
Gender:F
Credentials:ARNP FNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 NW COPPER OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-8300
Mailing Address - Country:US
Mailing Address - Phone:816-373-4600
Mailing Address - Fax:816-373-4603
Practice Address - Street 1:1938 NW COPPER OAKS CIR
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-8300
Practice Address - Country:US
Practice Address - Phone:816-373-4600
Practice Address - Fax:816-373-4603
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-12
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO137113363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1023255130Medicare Oscar/Certification
MO540568508Medicaid
268548Medicare Oscar/Certification
MO595956400Medicaid
261320Medicare Oscar/Certification
268549Medicare Oscar/Certification
268578Medicare Oscar/Certification
MO010568509Medicaid
MO599225901Medicaid
268551Medicare Oscar/Certification
DA4239Medicare PIN
MO595956202Medicaid
MO595985805Medicaid
268550Medicare Oscar/Certification