John Robert Lagman Obrique, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CNA036225 Issued in NV

Practice address

19 W 1200 S
Kaysville, UT 84037-2843

Phone

(801) 546-8884

NPI assigned

Feb 26, 2018

Last updated

Feb 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1902307853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W 1200 S",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840372843",
            "telephone_number": "801-546-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 1200 S",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840372843",
            "telephone_number": "801-546-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIQUE",
        "first_name": "JOHN ROBERT",
        "middle_name": "LAGMAN",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NV",
            "license": "CNA036225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse's Aide in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Nurse's Aide in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.