Individual provider Active NPI

Nikitta Ashley Bobzien, R.T. (R)

  • Radiography Radiologic Technologist
  • Panama City, FL
National Provider Identifier
1861729253
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
CRT76073 Issued in FL
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

Updated by the provider on Nov 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CRT76073FLMDRadiography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Open MRI LLC PastSince Sep 14, 2025 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.

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.

Verify at the official NPI Registry.