Yolanda Denise Bobb – Private Vehicle

Key facts

NPI: 1841519600
Entity type: Individual (NPI type 1)
Primary specialty: Private Vehicle 347C00000X
License: YOBOBB (LA)
Practice address: 1506 Bivens St
Natchitoches, LA 71457-4207
Phone: (318) 352-5748
Fax: (318) 357-4470
NPI assigned: May 19, 2010
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
YOBOBB	LA	MD	Private Vehicle

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Private Vehicle	347C00000X	YOBOBB	LA	Yes

Addresses

Primary practice location

1506 Bivens St
Natchitoches, LA 71457-4207

Mailing address

1512 Bivens St
Natchitoches, LA 71457-4207
Phone (318) 352-5748

Other identifiers

Identifier	Type	State	Issuer
1340979	Medicaid	LA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 19, 2010.

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1841519600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 BIVENS ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574207",
            "telephone_number": "318-352-5748",
            "fax_number": "318-357-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 BIVENS ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574207",
            "telephone_number": "318-352-5748",
            "fax_number": "318-357-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBB",
        "first_name": "YOLANDA",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "LA",
            "license": "YOBOBB",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1340979",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Bio-Medical Applications of Louisiana, LLC
Tracy Jannik Bishop, APRN-CNP
Delores Bivens
Marvin Blake Jr.
Timothy Blankenbaker
Warren C Botnick, M.D.
Steven Thomas Boyd, PHARMD
Bradbury Home Health, Inc.
Pamela Bradley, M.S.
Dominique Michelle Bramwell, PHARMD

All providers in Natchitoches, LA · Private Vehicle in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.