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NPI Code Detail

MEDICARE: ROBIN D FOX PMHNP-BC, LPC

MEDICARE: ROBIN D FOX PMHNP-BC, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorID
2363LP0808XPsychiatric/Mental Health Nurse PractitionerNP 189-AID
3363LX0001XObstetrics & Gynecology Nurse PractitionerNP 189-AID
4363LP0808XPsychiatric/Mental Health Nurse Practitioner201709886NP-PPOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000010141286OTHERIDREGENCE BLUE SHIELD OF ID
2NPBG3OTHERIDBLUE CROSS OF ID
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447220801
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN D FOX PMHNP-BC, LPC
Provider Business Mailing Address
First Line : PO BOX 1162
Second Line :
City : NEWPORT
State : OR
Zip : 97365-0092
Country : US
Telephone Number : 541-669-0655
Fax Number : 541-714-1075
Provider Business Practice Location Address
First Line : 547 SW 7TH ST
Second Line :
City : NEWPORT
State : OR
Zip : 97365-4909
Country : US
Telephone Number : 541-669-0655
Fax Number : 541-714-1075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 03/14/2025

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