Active NPI
Mary Jane Dobson, CNM
- Obstetrics & Gynecology Nurse Practitioner
- Tampa, FL
National Provider Identifier
1538229976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- ARNP2546502
- Practice address
- 3250 Zemke Ave
Tampa, FL 33621-5023 - Phone
- (813) 827-9336
- Fax
- (813) 827-9488
- NPI assigned
- Dec 8, 2006
- Last updated
- Apr 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | ARNP2546502 | FL | Primary |
| Advanced Practice Midwife | 367A00000X | 644931 | TX |
Addresses
Primary practice location
3250 Zemke Ave
Tampa, FL 33621-5023
Mailing address
3250 Zemke Ave
Tampa, FL 33621-5023
Phone (813) 827-9336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037008204 | Medicaid | TX |
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
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Past | Accepting new patients | |
| Utmb Regional Maternal and Child Health Program | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Galveston, TX
- NPI 1942241146
-
dba UTMB RMCHP - Stafford
- Ambulatory Family Planning Facility
- Stafford, TX
- NPI 1962701383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1538229976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 ZEMKE AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336215023",
"telephone_number": "813-827-9336",
"fax_number": "813-827-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 ZEMKE AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336215023",
"telephone_number": "813-827-9336",
"fax_number": "813-827-9488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBSON",
"first_name": "MARY",
"middle_name": "JANE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "ARNP2546502",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "644931",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037008204",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.