JUDITH SOBOL (NPI# 1962903369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962903369 |
| Entity Type | Individual |
| Full Name | JUDITH SOBOL |
| Other Name | JUDITH MARIA YOUNG |
| Credential | RN, MSN |
| Practice Address |
1853 R W Berends Dr Sw Wyoming MI 49519-4955 |
| Mailing Address |
2325 Indian Mill Creek Dr Nw Grand Rapids MI 49544-9706 |
| Practice Telephone | 6165349303 |
| Mailing Telephone | 6166337377 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
4704252118 | MI | Nursing Service Providers |
| Street Address |
1853 R W BERENDS DR SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-4955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881086965 | Thelma Cases Fowler | Licensed Practical Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2015-02-25 |
| 1003435751 | Elizabeth Jane Pitcher | Registered Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2020-04-13 |
| 1578198636 | Nila Yeo | Licensed Practical Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2020-03-10 |
| 1598390171 | Barbara Gardner | Licensed Practical Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2020-03-04 |
| 1629609755 | Joyce Van Hoff | Registered Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2020-01-28 |
| 1598305310 | Kelsey Blystone | Registered Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2020-01-09 |
| 1881233898 | Tina Krystiniak | Registered Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2019-12-23 |
| 1073164935 | Kathleen Kubacki | Licensed Practical Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2019-09-23 |
| 1235786559 | Leah Stegenga | Registered Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2019-08-21 |
| 1104472133 | Sheryl Conine | Registered Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831699123 | Jessica Benson | Registered Nurse | 1853 Rw Berends Dr Sw, Wyoming, MI 49519-4955 | 2018-02-14 |
| 1003435751 | Elizabeth Jane Pitcher | Registered Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2020-04-13 |
| 1104472133 | Sheryl Conine | Registered Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2019-08-15 |
| 1790278349 | Sarah Vos | Registered Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2018-06-08 |
| 1598258170 | Anne Blackport | Registered Nurse | 1853 Rw Berends Dr Sw, Wyoming, MI 49519-4955 | 2018-06-08 |
| 1700379344 | Jacqeuline Schans | Registered Nurse | 1853 Rw Berends Dr Sw, Wyoming, MI 49519-4955 | 2018-06-08 |
| 1043702335 | Amanda Arnold | Registered Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2018-06-01 |
| 1922590579 | Janet Ruth Levering | Registered Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2018-05-30 |
| 1255820213 | Dominique Gugle | Registered Nurse | 1853 Rw Berends Dr Sw, Wyoming, MI 49519-4955 | 2018-05-05 |
| 1164919858 | Natalie Smith | Registered Nurse | 1853 Rw Berends Dr Sw, Wyoming, MI 49519-4955 | 2018-04-18 |
| Find all providers in WYOMING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.