NPIMap

Organization Active NPI

Amazinggreys Senior Care LLC

  • Family Medicine Physician
  • Springboro, OH
National Provider Identifier
1669946307
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMAZINGGREYS SENIOR CARE LLC
Practice address
30 N Lakeshore Dr
Springboro, OH 45066-8125
Phone
(937) 367-9407
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Bobbi Jo Watson, NP
Title
Nurse Practitioner
Phone
(937) 367-9407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

30 N Lakeshore Dr
Springboro, OH 45066-8125

Mailing address

30 N Lakeshore Dr
Springboro, OH 45066-8125
Phone (937) 367-9407

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1669946307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N LAKESHORE DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668125",
            "telephone_number": "937-367-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N LAKESHORE DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668125",
            "telephone_number": "937-367-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZINGGREYS SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "937-367-9407",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.