Provider Demographics
NPI:1487950853
Name:ROBINSON, MARCEY (MS, RD, CDE, BC-ADM)
Entity type:Individual
Prefix:MRS
First Name:MARCEY
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MS, RD, CDE, BC-ADM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ELK RUN DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BASALT
Mailing Address - State:CO
Mailing Address - Zip Code:81621-9205
Mailing Address - Country:US
Mailing Address - Phone:970-927-8181
Mailing Address - Fax:
Practice Address - Street 1:100 ELK RUN DR
Practice Address - Street 2:SUITE 101
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621-9205
Practice Address - Country:US
Practice Address - Phone:970-927-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-02
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1790974434OtherGROUP NPI