ROBIN AMANDA SECRIST (NPI# 1619318276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619318276 |
| Entity Type | Individual |
| Full Name | ROBIN AMANDA SECRIST |
| Credential | ARNP |
| Practice Address |
2199 W Ironwood Center Dr Coeur D Alene ID 83814-2639 |
| Mailing Address |
2003 Kootenai Health Way Coeur D Alene ID 83814-6051 |
| Practice Telephone | 2086254888 |
| Practice Fax Number | 2086255734 |
| Mailing Telephone | 2086255085 |
| Mailing Fax Number | 2086255731 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2018-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
57568 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7315 212th St Sw, Suite 101, Edmonds, WA 980267610 | 4257759474 |
| Street Address |
2199 W IRONWOOD CENTER DR |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194713487 | Coralyn J Alexander | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2005-10-11 |
| 1336451947 | Laura Christine Adams | Nurse Practitioner | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2010-07-12 |
| 1093940074 | Justin Paul Garrett | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2009-05-20 |
| 1609915644 | John Spencer Helsell | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814 | 2007-02-06 |
| 1184790677 | Emily Maria Hart | Counselor | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-11-27 |
| 1477629996 | William H Miller Jr. | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-11-27 |
| 1487724407 | North Idaho Mental Health Assoc | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-11-08 |
| 1356454359 | Lauren A Boydston | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-08-16 |
| 1689689085 | Tanya Heidenreich | Nurse Practitioner | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-07-31 |
| 1548209935 | Eric J Heidenreich | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881027241 | Colleen R Fleming | Nurse Practitioner | 2025 W Park Place, Ste B, Coeur D Alene, ID 83814-2785 | 2013-08-20 |
| 1104425149 | Denise White | Nurse Practitioner | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2020-10-21 |
| 1114481140 | Laura J. Haney | Nurse Practitioner | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2019-01-23 |
| 1649539156 | Alliance Family Services | Nurse Practitioner | 1200 W Ironwood Dr, Ste. 101, Coeur D Alene, ID 83814-2660 | 2012-05-04 |
| 1831474659 | Leanne Elisha | Nurse Practitioner | 1103 W Ironwood Dr, Coeur D Alene, ID 83814-2604 | 2011-10-12 |
| 1215236310 | Richard Lee Perry | Nurse Practitioner | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2628 | 2011-03-15 |
| 1790081032 | Sensitive Mental Healthcare Pllc | Nurse Practitioner | 7905 N Meadowlark Way, Suite B, Coeur D Alene, ID 83815-5041 | 2011-02-03 |
| 1336451947 | Laura Christine Adams | Nurse Practitioner | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2010-07-12 |
| 1063739704 | Ruthann Rafacz | Nurse Practitioner | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2010-04-20 |
| 1801981113 | Charlotte R Harris | Nurse Practitioner | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2006-10-03 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on ROBIN AMANDA SECRIST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.