Active NPI
Amelyn Bober
- Home Health Aide
- Everett, WA
National Provider Identifier
1225536733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 751993
- Practice address
- 4132 124TH St SE
Everett, WA 98208-5665 - Phone
- (425) 785-5886
- Fax
- (425) 678-8826
- NPI assigned
- Jan 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 751993 | WA | Primary |
Addresses
Primary practice location
4132 124TH St SE
Everett, WA 98208-5665
Mailing address
1229 175TH St SW
Lynnwood, WA 98037-8249
Phone (425) 785-5886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 751993 | WA | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1225536733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 175TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980378249",
"telephone_number": "425-785-5886",
"fax_number": "425-678-8826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4132 124TH ST SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085665",
"telephone_number": "425-785-5886",
"fax_number": "425-678-8826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBER",
"first_name": "AMELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "WA",
"license": "751993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.