Active NPI
Rae Soblaban
- Registered Nurse
- Birmingham, AL
National Provider Identifier
1235568635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-046577
- Practice address
- 908 20TH St S
CPB
Birmingham, AL 35205-2610 - Phone
- (205) 934-1251
- Fax
- (205) 975-8950
- NPI assigned
- Nov 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-046577 | AL | Primary |
Addresses
Primary practice location
908 20TH St S
CPB
Birmingham, AL 35205-2610
Mailing address
908 20TH St S
CPB 4TH Floor
Birmingham, AL 35205-2610
Phone (205) 934-1251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163WP0809X | Medicaid | AL |
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 |
|---|---|---|---|
| 1-046577 | AL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1235568635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 20TH ST S",
"address_2": "CPB 4TH FLOOR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352052610",
"telephone_number": "205-934-1251",
"fax_number": "205-975-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 20TH ST S",
"address_2": "CPB",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352052610",
"telephone_number": "205-934-1251",
"fax_number": "205-975-8950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBLABAN",
"first_name": "RAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-06",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-046577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163WP0809X",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.