Individual provider Active NPI

Michele Lobitz, FNP

  • Family Nurse Practitioner
  • Grandview, MO
National Provider Identifier
1386639482
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012041695 Issued in MO
Practice address
7201 E 147TH St
Grandview, MO 64030-4204
Phone
(816) 348-2260
Fax
(913) 495-3751
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8973 CA
Family Nurse Practitioner 363LF0000X 2012041695 MO Primary

Addresses

Primary practice location

7201 E 147TH St
Grandview, MO 64030-4204

Mailing address

7201 E 147TH Street
Grandview, MO 64030-4204
Phone (816) 348-2260

Other practice location 1

11603 State Ave Ste G
Marysville, WA 98271-8465
Phone (360) 658-6800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlobitz1152712@wm.providencedirect.org Direct

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
8973CAMDFamily Nurse Practitioner
2012041695MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Take Care Health Kansas, PA Family Current Accepting new patients
Palo Alto Medical Foundation Past Accepting new patients

Locations

16767 Collections Ctr Dr
Chicago, IL 60693

15100 W 87th Street Pkwy
Lenexa, KS 66219
Phone (913) 236-7271

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386639482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 E 147TH STREET",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640304204",
            "telephone_number": "816-348-2260",
            "fax_number": "913-495-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 E 147TH ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640304204",
            "telephone_number": "816-348-2260",
            "fax_number": "913-495-3751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11603 State Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982718465",
            "country_code": "US",
            "telephone_number": "360-658-6800",
            "fax_number": "360-658-6819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOBITZ",
        "first_name": "MICHELE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "8973",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012041695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlobitz1152712@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11603 State Ave Ste G",
            "city": "Marysville",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982718465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grandview, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.