Bobbi-Jo'S Wellness for Life, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BOBBI-JO'S WELLNESS FOR LIFE, LLC

Practice address

11683 W Cactus Wren CT
Surprise, AZ 85378-2568

Phone

(315) 374-2570

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Bobbi-Jo Campbell, FNP

Title

Proprietor

Phone

(315) 374-2570

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1548848799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11683 W CACTUS WREN CT",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853782568",
            "telephone_number": "315-374-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11683 W CACTUS WREN CT",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853782568",
            "telephone_number": "315-374-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBI-JO'S WELLNESS FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BOBBI-JO",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "315-374-2570",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Sprig Pediatrics, Inc
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• Sumer Lynette Blum, SLPA
• Jay Boardman, PA-C
• Kellie Bobadilla, ST
• Lauren E Bock, COTA/L
• Abiyah Chayah Boehnlein
• Patricia R Bogaard, O.D.
• Kevin Emmett Boivin, MT
• Pamela Bollinger, M.A.CCC-SLP

• Family Medicine Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.