Individual provider Active NPI

Llolyn Pobran, DC, CHT

  • Nutrition Chiropractor
  • Coeur D Alene, ID
National Provider Identifier
1801695481
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC1150 Issued in CA
Practice address
3895 N Schreiber Way Ste 600
Coeur D Alene, ID 83815-5240
Phone
(208) 818-3033
NPI assigned
Mar 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X DC11500 CA
Nutrition Chiropractor 111NN1001X DC11500 ID
Nutrition Chiropractor 111NN1001X DC1150 CA Primary

Addresses

Primary practice location

3895 N Schreiber Way Ste 600
Coeur D Alene, ID 83815-5240

Mailing address

4473 N Mount Carrol St
Coeur D Alene, ID 83815-9326
Phone (208) 964-3777

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

State licenses

LicenseStateTypeSpecialty
DC1150CAMDNutrition Chiropractor
DC11500CAMDNutrition Chiropractor
DC11500IDMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1801695481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4473 N MOUNT CARROL ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159326",
            "telephone_number": "208-964-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 N SCHREIBER WAY STE 600",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838155240",
            "telephone_number": "208-818-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POBRAN",
        "first_name": "LLOLYN",
        "credential": "DC, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC11500",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "ID",
            "license": "DC11500",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC1150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.