Dia Bobb, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP2732132 Issued in FL

Practice address

36468 Emerald Coast Pkwy Ste 7102
Destin, FL 32541-0712

Phone

(850) 842-3256

Fax

(850) 353-2561

NPI assigned

Jan 12, 2018

Last updated

Oct 31, 2024By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: dia.bobb.1@15074.direct.athenahealth.com

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1255849246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 CARDINAL AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486939",
            "telephone_number": "850-502-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36468 EMERALD COAST PKWY STE 7102",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325410712",
            "telephone_number": "850-842-3256",
            "fax_number": "850-353-2561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Beach Dr",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325412402",
            "country_code": "US",
            "telephone_number": "850-837-8424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBB",
        "first_name": "DIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2732132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bluewater Medical Billing, LLC
• Bluewater Orthopedics PA
• Tracy Bobbitt, OTA
• Anthony Peter Bolos, D.C.
• Taylor Boone, FNP
• Katherine Elizabeth Booth, FNP-C
• Kleidy L Botich, MASSAGE THERAPIST

• Family Nurse Practitioner in Destin, FL
• Providers in Destin, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.