Jobail Navida Labilles, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

201601769LPN Issued in OR

Practice address

3871 Fairview Industrial Dr SE
Suite # 150
Salem, OR 97302-1180

Phone

(503) 391-9762

Fax

(503) 315-2019

NPI assigned

Nov 16, 2016

Last updated

Nov 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Willamette Valley Treatment Center

  • Licensed Practical Nurse
  • Salem, OR
  • NPI 1730636762
  NPD (past) Authorized official

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1689116071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 SILVERPARK PL NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973052012",
            "telephone_number": "541-974-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 FAIRVIEW INDUSTRIAL DR SE",
            "address_2": "SUITE # 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021180",
            "telephone_number": "503-391-9762",
            "fax_number": "503-315-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABILLES",
        "first_name": "JOBAIL",
        "middle_name": "NAVIDA",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201601769LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L. Emery Karst, DDS, PC
• Jade La Brie
• Shannon La Douce, PMHNP
• Philip Jordan La Lande, DMD
• C Alyse La Monte, PMHNP-BC
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laboratory Corporation of America

• Licensed Practical Nurse in Salem, OR
• Providers in Salem, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.