Individual provider Active NPI

Kathleen Lynn Bobay, RN, PHD

  • General Practice Registered Nurse
  • Pewaukee, WI
National Provider Identifier
1790789063
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
Practice address
668 Westfield Way
Apt C
Pewaukee, WI 53072-6547
Phone
(262) 695-0545
NPI assigned
Jun 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 4704135541 MI
General Practice Registered Nurse 163WG0000X WI Primary

Addresses

Primary practice location

668 Westfield Way
Apt C
Pewaukee, WI 53072-6547

Mailing address

668 Westfield Way
Apt C
Pewaukee, WI 53072-6547
Phone (262) 695-0545

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)
Not enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704135541MIMDGeneral Practice Registered Nurse
146404030WIMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790789063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 WESTFIELD WAY",
            "address_2": "APT C",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726547",
            "telephone_number": "262-695-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 WESTFIELD WAY",
            "address_2": "APT C",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726547",
            "telephone_number": "262-695-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBAY",
        "first_name": "KATHLEEN",
        "middle_name": "LYNN",
        "credential": "RN, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MI",
            "license": "4704135541",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.