Active NPI
Nikitta Ashley Bobzien, R.T. (R)
- Radiography Radiologic Technologist
- Panama City, FL
National Provider Identifier
1861729253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- CRT76073
- Practice address
- 511 E 23Rd St
Panama City, FL 32405-5307 - Phone
- (850) 747-8822
- Fax
- (850) 747-8664
- NPI assigned
- Nov 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | CRT76073 | FL | Primary |
| Radiography Radiologic Technologist | 2471C3402X | 461771 |
Addresses
Primary practice location
511 E 23Rd St
Panama City, FL 32405-5307
Mailing address
4100 Marriott Dr
#407
Panama City, FL 32408-8018
Phone (850) 588-9631
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
| License | State | Type | Specialty |
|---|---|---|---|
| CRT76073 | FL | MD | Radiography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Open MRI LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Panama City, FL
- NPI 1134188824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257465600000",
"number": "1861729253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 MARRIOTT DR",
"address_2": "#407",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324088018",
"telephone_number": "850-588-9631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E 23RD ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324055307",
"telephone_number": "850-747-8822",
"fax_number": "850-747-8664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBZIEN",
"first_name": "NIKITTA",
"middle_name": "ASHLEY",
"credential": "R.T. (R)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-06",
"last_updated": "2009-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "FL",
"license": "CRT76073",
"primary": true
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": null,
"license": "461771",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.