Lynn A Bibolet, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP007643 Issued in PA

Practice address

1650 Huntingdon Pike
Suite 320
Meadowbrook, PA 19046

Phone

(215) 947-1447

Fax

(215) 947-2603

NPI assigned

Jun 8, 2010

Last updated

Jun 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lynn@meadowbrookpediatrics.opdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meadowbrook Pediatrics

  • Pediatrics Physician
  • Meadowbrook, PA
  • NPI 1922052067
  NPD (past)

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1851611313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 320",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "19046",
            "telephone_number": "215-947-1447",
            "fax_number": "215-947-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 320",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "19046",
            "telephone_number": "215-947-1447",
            "fax_number": "215-947-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBOLET",
        "first_name": "LYNN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Schnall Ms MD
• Patrick J Becher, DO
• Theresa C Becker, M.D.
• Charles E. Bemis, M.D.
• Colleen Benjamin, D.O.
• Rebekah Blutstein, M.D.
• Gerade Eugene Bowden Jr., OPTICIAN
• Joanne R Boyer, CRNA
• Joseph Bradley, MD
• Anne Kathryn Bromm, RD CNSC LDN

• Nurse Practitioner in Meadowbrook, PA
• Providers in Meadowbrook, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.