ADRIENNE BOBB (NPI# 1184245813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184245813 |
| Entity Type | Individual |
| Full Name | ADRIENNE BOBB |
| Credential | LPN |
| Practice Address |
759 Susquehanna Trl Watsontown PA 17777-8109 |
| Practice Telephone | 5705381240 |
| Practice Fax Number | 5705381530 |
| Mailing Telephone | 5705381240 |
| Mailing Fax Number | 5705381530 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN292760 | PA | Nursing Service Providers |
| Street Address |
759 SUSQUEHANNA TRL |
| City | WATSONTOWN |
| State | PA |
| Zip Code | 17777-8109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134350119 | Misty Dawn Little | Counselor | 759 Susquehanna Trl, Watsontown, PA 17777-8109 | 2009-08-07 |
| 1093321556 | Santina Sacavage | Counselor | 759 Susquehanna Trl, Watsontown, PA 17777-8109 | 2020-09-21 |
| 1952911695 | Cory Tyrone Douglas | Counselor | 759 Susquehanna Trl, Watsontown, PA 17777-8109 | 2020-08-07 |
| 1790306546 | Kayla Berge | Counselor | 759 Susquehanna Trl, Watsontown, PA 17777-8109 | 2020-05-04 |
| 1295388726 | Charles Stewart Martin IIi | Licensed Practical Nurse | 759 Susquehanna Trl, Watsontown, PA 17777-8109 | 2019-07-23 |
| 1033671482 | Debra Kay Showers | Counselor | 759 Susquehanna Trl, Watsontown, PA 17777-8109 | 2019-04-04 |
| 1568924918 | Anna Marie Mercado | Counselor | 759 Susquehanna Trl, Watsontown, PA 17777-8109 | 2019-04-04 |
| 1093274482 | Regina Amoss | Counselor | 759 Susquehanna Trl, Watsontown, PA 17777-8109 | 2019-03-15 |
| 1841774593 | Kelli J Zimmerman | Licensed Practical Nurse | 759 Susquehanna Trl, Watsontown, PA 17777-8109 | 2018-09-19 |
| 1912430364 | Jennifer Rose Beamer | Social Worker | 759 Susquehanna Trl, Watsontown, PA 17777-8109 | 2017-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326085549 | Richard J Dranitzke | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 635 Belle Terre Road, Port Jefferson, NY 17777 | 2006-05-31 |
| 1396921490 | Keystone Care Physical Therapy, Inc. | Occupational Therapist | 465 Susquehanna Trl, Watsontown, PA 17777 | 2008-01-18 |
| 1750360285 | Kramm Nursing Home, Inc. | Skilled Nursing Facility | 245 E 8th St, Watsontown, PA 17777-1033 | 2006-01-12 |
| 1144723297 | Monnette Cabral Sario | Physical Therapist | 245 E 8th St, Watsontown, PA 17777-1033 | 2018-03-15 |
| 1821532342 | Watsontown Operating, LLC | Skilled Nursing Facility | 245 E 8th St, Watsontown, PA 17777-1033 | 2016-12-19 |
| 1558601013 | Watsontown Nursing and Rehabilitation Center Lp | Skilled Nursing Facility | 245 E 8th St, Watsontown, PA 17777-1033 | 2013-02-21 |
| 1144518408 | Team Watsontown Healthcare LLC | Skilled Nursing Facility | 245 E 8th St, Watsontown, PA 17777-1033 | 2011-07-20 |
| 1528371606 | Jonelle Elizabeth Holmes | Physical Therapist | 245 E 8th St, Watsontown, PA 17777-1033 | 2010-07-19 |
| 1336377902 | Heather Booth | Speech-Language Pathologist | 245 E 8th St, Watsontown, PA 17777-1033 | 2009-06-23 |
| 1346369949 | Amy Jolene Bryan | Occupational Therapy Assistant | 245 E 8th St, Watsontown, PA 17777-1033 | 2007-03-28 |
| Find all providers in zip 17777 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295388726 | Charles Stewart Martin IIi | Licensed Practical Nurse | 759 Susquehanna Trl, Watsontown, PA 17777-8109 | 2019-07-23 |
| 1841774593 | Kelli J Zimmerman | Licensed Practical Nurse | 759 Susquehanna Trl, Watsontown, PA 17777-8109 | 2018-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184723 | Mercedes Campbell | Licensed Practical Nurse | 255 E Lincoln Hwy, Penndel, PA 19047-4023 | 2020-11-05 |
| 1689272015 | Rosalia Martin | Licensed Practical Nurse | 1320 Matthew Dr, York, PA 17404-8605 | 2020-10-16 |
| 1730796335 | Stephanie Bellande | Licensed Practical Nurse | 2919 Birney Ave, Scranton, PA 18505-3131 | 2020-09-28 |
| 1740897818 | Ronald J Potocki Jr. | Licensed Practical Nurse | 8771 Findley Lake Rd, North East, PA 16428-4273 | 2020-09-23 |
| 1659987907 | Khatifa Bundy | Licensed Practical Nurse | 2327 W Hagert St, Philadelphia, PA 19132-4246 | 2020-09-22 |
| 1457967903 | Assanatu Monorma Bah | Licensed Practical Nurse | 800 Cottman Ave Apt 428, Philadelphia, PA 19111-3072 | 2020-09-21 |
| 1376159988 | Sierra Alexis Gadson | Licensed Practical Nurse | 2151 Knorr St, Philadelphia, PA 19149-2307 | 2020-09-18 |
| 1306451752 | Catherine L. Bredel | Licensed Practical Nurse | 1853 Brett St Apt 16, Pittsburgh, PA 15205-4015 | 2020-09-12 |
| 1134733215 | Erin Marie Mosser | Licensed Practical Nurse | 1 Eisenhower Drive, Student Health Services, University Park, PA 16802 | 2020-09-04 |
| 1346853090 | Marcia Tina Bristol | Licensed Practical Nurse | 1030 Elmwood Ave, Sharon Hill, PA 19079-1606 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | WATSONTOWN |
| Zip Code | 17777 |
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| 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.