Bobbie Renee Ables-Smith, LEP #3049

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

3049 Issued in CA

Practice address

1305 E Vine St
Lodi, CA 95240-3179

Phone

(209) 331-7085

NPI assigned

Sep 28, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1043795644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E VINE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403179",
            "telephone_number": "209-331-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E VINE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403179",
            "telephone_number": "209-331-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABLES-SMITH",
        "first_name": "BOBBIE",
        "middle_name": "RENEE",
        "credential": "LEP #3049",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "3049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lodi, CA
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.