Provider Demographics
NPI:1245053834
Name:WINTERS, ROBIN ANN (RN, CCM, CMGT-BC)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:ANN
Last Name:WINTERS
Suffix:
Gender:F
Credentials:RN, CCM, CMGT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2739 HITCHING POST ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5845
Mailing Address - Country:US
Mailing Address - Phone:210-725-9007
Mailing Address - Fax:
Practice Address - Street 1:4455 HORIZON HILL BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2258
Practice Address - Country:US
Practice Address - Phone:210-321-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202204855163W00000X
TX799450163WA0400X
CA698687163WC0400X
MN2410465163WC0400X
PARN326106L163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)