Healthcare Provider Details

I. General information

NPI: 1942402268
Provider Name (Legal Business Name): ROBIN BARNES THOMAS PH.D,, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 12/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4026 NE 55TH ST SUITE D
SEATTLE WA
98105-2262
US

IV. Provider business mailing address

4026 NE 55TH ST SUITE D
SEATTLE WA
98105-2262
US

V. Phone/Fax

Practice location:
  • Phone: 206-985-9989
  • Fax: 206-708-6099
Mailing address:
  • Phone: 206-985-9989
  • Fax: 206-708-6099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN00071948
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP30007881
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: