Individual provider Active NPI

Jamie Lobbenberg, CRNP

  • Adult Health Nurse Practitioner
  • Willow Grove, PA
National Provider Identifier
1265781207
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP012298 Issued in PA
Practice address
2360 Maryland Rd
Willow Grove, PA 19090-1709
Phone
(215) 657-6776
NPI assigned
Sep 6, 2012
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
SP012298PAMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.