Active NPI
Caroline G. Hobbs, N.P.
- Nurse Practitioner
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30005993
- Practice address
- 510 Boren Ave N
Seattle, WA 98109-5501 - Phone
- (206) 320-5200
- Fax
- (206) 320-5202
- NPI assigned
- Feb 2, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30005993 | WA | Primary |
| Registered Nurse | 163W00000X | RN00141371 | WA |
Addresses
Primary practice location
510 Boren Ave N
Seattle, WA 98109-5501
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9635095 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hospital Dr
Ketchum, ID 83340
100 Hospital Dr
Ketchum, ID 83340-9998
191 5TH St W
Ketchum, ID 83340-9998
Phone (208) 725-2171
21 E Maple St
Suite a
Hailey, ID 83333-4900
Phone (208) 788-3200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00141371 | WA | MD | Registered Nurse |
| AP30005993 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic - Wood River LLC | Family Medicine | Current | Accepting new patients |
| Overlake Medical Clinics, LLC | Past | Accepting new patients | |
| Issaquah Obstetrics and Gynecology PLLC | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
1450 Aviation Dr
Ste 100
Hailey, ID 83333
Phone (208) 788-3434
21 E Maple St
Hailey, ID 83333
Phone (208) 788-3200
Interoperability endpoints
- chobbs22040@direct.slhs.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Ketchum, ID
- NPI 1972891604
Family Medicine
-
- Obstetrics & Gynecology Physician
- Issaquah, WA
- NPI 1073581807
-
- Specialist
- Bellevue, WA
- NPI 1801828421
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Wood River Medical Center
- Critical Access Hospital
- Ketchum, ID
- NPI 1508869470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1619015385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-381-2222",
"fax_number": "206-320-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BOREN AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981095501",
"telephone_number": "206-320-5200",
"fax_number": "206-320-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBBS",
"first_name": "CAROLINE",
"middle_name": "G.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30005993",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00141371",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9635095",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.