Active NPI
Bobette Wilson, RN, CARN
- Addiction (Substance Use Disorder) Counselor
- Naples, FL
National Provider Identifier
1356723233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2011AD873101
- Practice address
- 235 Airport Rd S
Naples, FL 34104-3510 - Phone
- (239) 227-2839
- NPI assigned
- Jun 26, 2015
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2011AD873101 | FL | Primary |
Addresses
Primary practice location
235 Airport Rd S
Naples, FL 34104-3510
Mailing address
235 Airport Rd S
Naples, FL 34104-3510
Phone (239) 227-2839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270858731 | Other | FL | BLUE CROSS/BLUE SHIELD |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011AD873101 | FL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1356723233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 AIRPORT RD S",
"city": "NAPLES",
"state": "FL",
"postal_code": "341043510",
"telephone_number": "239-227-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 AIRPORT RD S",
"city": "NAPLES",
"state": "FL",
"postal_code": "341043510",
"telephone_number": "239-227-2839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "BOBETTE",
"credential": "RN, CARN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "2011AD873101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "270858731",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.