Virginia June Bobo

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00048202 Issued in WA

Practice address

3320 Auburn Way N
Auburn, WA 98002-1805

Phone

(253) 999-5002

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1285373456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980021805",
            "telephone_number": "253-999-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980021805",
            "telephone_number": "253-999-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBO",
        "first_name": "VIRGINIA",
        "middle_name": "JUNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00048202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bliss Care Afh LLC
• Jaime Diane Bliss
• Latwanya Blissett
• Leah Marie Block, MA, LMHC
• Sarah Leah Blum, ARNP
• Jayson Boehm, LMP
• Caroline Huff Boerwinkle, MD
• Tanner Bohl
• Savorn Sean Bolante
• Anthony Bolden

• Licensed Practical Nurse in Auburn, WA
• Providers in Auburn, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.