Averill Flynn Obee

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3500 Civic Center Blvd RM 10106
Philadelphia, PA 19104-4395

Phone

(215) 217-9309

NPI assigned

Dec 30, 2018

Last updated

Aug 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1546128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1114499209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 LARCHWOOD AVE APT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CIVIC CENTER BLVD RM 10106",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044395",
            "telephone_number": "215-217-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEE",
        "first_name": "AVERILL",
        "middle_name": "FLYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-30",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desmond Oathes, PH.D.
• Giftty Eseoisa Obadan, DO
• Bolanle Obafemi, PHARMD
• Gladys Obaji
• Sussy Dayana Obando Lara, MD
• Anthony Obeid, MD
• Elias I Obeid, M.D., MPH
• Halah Obeidat, DMD
• Evelyn Obeng, OTR/L
• Amanda Ober, MSN FNP

• Student in an Organized Health Care Education/Training Program in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.