Active NPI
Jamie Lobbenberg, CRNP
- Adult Health Nurse Practitioner
- Willow Grove, PA
National Provider Identifier
1265781207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP012298
- Practice address
- 2360 Maryland Rd
Willow Grove, PA 19090-1709 - Phone
- (215) 657-6776
- NPI assigned
- Sep 6, 2012
- Last updated
- Nov 27, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP012298 | PA | Primary |
Addresses
Primary practice location
2360 Maryland Rd
Willow Grove, PA 19090-1709
Mailing address
2360 Maryland Rd
Willow Grove, PA 19090-1709
Phone (215) 657-6776
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jamie.lobbenbergcrnp.p1@direct.arthritispa.nextgenshare.com | Health Information Exchange (HIE) | RHEUMATIC DISEASE ASSOCIATES,LTD |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP012298 | PA | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- jamie.lobbenbergcrnp.p1@direct.arthritispa.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1265781207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 MARYLAND RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901709",
"telephone_number": "215-657-6776",
"fax_number": "267-913-5962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 MARYLAND RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901709",
"telephone_number": "215-657-6776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBBENBERG",
"first_name": "JAMIE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-06",
"last_updated": "2023-11-27",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP012298",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jamie.lobbenbergcrnp.p1@direct.arthritispa.nextgenshare.com",
"affiliation": "Y",
"affiliationName": "RHEUMATIC DISEASE ASSOCIATES,LTD",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2360 Maryland Rd",
"city": "Willow Grove",
"state": "PA",
"country_code": "US",
"postal_code": "190901709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.