Jillyne Bobrowsky

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

8042 Victoria Drive
Victoria, MN 55386

Phone

(952) 905-1982

NPI assigned

Mar 4, 2014

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

• Jill Bisson Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2014.

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1801211586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16204 HIGHWAY 7",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453405",
            "telephone_number": "952-934-2555",
            "fax_number": "952-934-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8042 VICTORIA DRIVE",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "55386",
            "telephone_number": "952-905-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBROWSKY",
        "first_name": "JILLYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "BISSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Augustana Emerald Care LLC
• Haley Elizabeth Backdahl
• Laiel Inez Baker-Dekrey, PHD, LP
• Kristine Marie Beer, SLP
• Susan Anderson Berger, M.A., CCC-SLP
• Nathanyl Bryan Broders
• Shelly Renee Brooks, OTR
• Robert Elmer Brown, D.C.
• Bruce a. Baker, D.D.S., P.a.
• Taria Cameron, CCC-SLP

• All providers in Victoria, MN
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.