Individual provider Active NPI

Barbara Oberlin, RN, BSN, PHN

  • Community Health Registered Nurse
  • Glencoe, MN
National Provider Identifier
1487054318
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
R109444-2 Issued in MN
Practice address
1805 Ford Ave N
Suite 200
Glencoe, MN 55336-1363
Phone
(320) 864-1736
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X R109444-2 MN Primary

Addresses

Primary practice location

1805 Ford Ave N
Suite 200
Glencoe, MN 55336-1363

Mailing address

1805 Ford Ave N
Suite 200
Glencoe, MN 55336-1363
Phone (320) 864-1736

Other names 1

  • Barbara Traver Other name

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R109444-2MNMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod County Public Health Past Accepting new patients

Organizations & group practices 1

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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1487054318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 FORD AVE N",
            "address_2": "SUITE 200",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553361363",
            "telephone_number": "320-864-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 FORD AVE N",
            "address_2": "SUITE 200",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553361363",
            "telephone_number": "320-864-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERLIN",
        "first_name": "BARBARA",
        "credential": "RN, BSN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "R109444-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "TRAVER",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glencoe, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.