Active NPI
Ingrid Odacia Bobb, MSN, RN
- Registered Nurse
- Brooklyn, NY
National Provider Identifier
1871206151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0984447
- Practice address
- 9206 Foster Ave
Brooklyn, NY 11236-1718 - Phone
- (917) 650-2492
- NPI assigned
- Jan 2, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0984447 | NY | Primary |
Addresses
Primary practice location
9206 Foster Ave
Brooklyn, NY 11236-1718
Mailing address
9206 Foster Ave
Brooklyn, NY 11236-1718
Phone (917) 650-2492
Other names 1
- Ms. Ingrid Odacia Noble
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0984447 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1871206151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9206 FOSTER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112361718",
"telephone_number": "917-650-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9206 FOSTER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112361718",
"telephone_number": "917-650-2492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBB",
"first_name": "INGRID",
"middle_name": "ODACIA",
"name_prefix": "Ms.",
"credential": "MSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-02",
"last_updated": "2023-01-02",
"certification_date": "2023-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "0984447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "INGRID",
"last_name": "NOBLE",
"middle_name": "ODACIA",
"prefix": "MS.",
"credential": "NOBLES GLO & ESTHETI",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.