Noble Health Associates LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NOBLE HEALTH ASSOCIATES LLC

Practice address

305 S. Maryland St
Toledo, IL 62468

Phone

(217) 849-4199

NPI assigned

Aug 11, 2022

Organization subpart

No

Name

Zachary Backlin, NPNPI 1871150946

Title

Provider/Owner

Phone

(217) 849-4199

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2022.

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1841928488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S. MARYLAND ST",
            "city": "TOLEDO",
            "state": "IL",
            "postal_code": "62468",
            "telephone_number": "217-849-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S. MARYLAND ST",
            "city": "TOLEDO",
            "state": "IL",
            "postal_code": "62468",
            "telephone_number": "217-849-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "BACKLIN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "217-849-4199",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Marie Dow, RN, IBCLC
• Chasity Jean Dunaway, MS, LCPC, CADC
• Jill M Mathenia
• Moore Family Stores Inc.
• William Arthur Nebel, R.PH.
• Jennifer Marie Phillips, PTA
• Debra F Stinson, LCSW
• Toledo Area Emergency Ambulance Service Inc
• Adree Venatta, MD
• Troy Layne Warner, D.C.

• All providers in Toledo, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.