Brisa Malia Lobb

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP028980 Issued in PA

Practice address

4428 Pearson Ave
Philadelphia, PA 19114-3746

Phone

(610) 908-4172

NPI assigned

Jan 9, 2024

Last updated

Jan 9, 2024By 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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Wound Care Pennsylvania PLLCGroup PAC ID 5294075362, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Integrated Wound Care Pennsylvania PLLC

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1447722863
  Medicare reassignment Care Compare group NPD
• Consonant Healing Medical Associates

  • Surgery Physician
  • Silver Spring, MD
  • NPI 1588122535

  PA

  Medicare reassignment NPD
• Kane Wound Care LLC

  dba d/b/a Princeton Wound Care Center

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1275869802

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1922879097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 PEARSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 PEARSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143746",
            "telephone_number": "610-908-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBB",
        "first_name": "BRISA",
        "middle_name": "MALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Wan-Wai Lo, PA-C
• Bogadi Louise Loabile, MD
• Morgann Roseleen Loaec, MD
• Karen Nicole Lob, MD
• Liudmila Lobach, MD
• Michael Lobianco, MSW, LCSW
• Michael Anthony Lobianco, D.O.
• Amanda Nicole Lobiondo, CRNA
• Cali Loblundo
• Jesse Lobreglio, MOT, OTR/L

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.