AMANDA JEAN ROBERTSEN NPI 1376331454

NPI Information

  • NPI: 1376331454
  • Provider Name: AMANDA JEAN ROBERTSEN
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 159 BRENTWOOD DR
    GRASS VALLEY, CA
    ZIP 95945
  • Phone: (530) 263-2562

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NPI Details

Amanda Jean Robertsen is a peer specialist in Grass Valley, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Amanda Jean Robertsen NPI is 1376331454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

159 BRENTWOOD DR
GRASS VALLEY, CA
ZIP 95945-703
Phone: (530) 263-2562

The enumeration date for this NPI number is 4/28/2025 and was last updated on 4/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistMPSS-OMIQZKCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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