Individual provider Active NPI

Charlotte Nsabaka

  • Respite Care
  • Tucson, AZ
National Provider Identifier
1013453968
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
BH5084 Issued in AZ
Practice address
8210 E Mesquite Ridge Cir
Tucson, AZ 85710-4276
Phone
(520) 302-1941
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X BH5084 AZ Primary

Addresses

Primary practice location

8210 E Mesquite Ridge Cir
Tucson, AZ 85710-4276

Mailing address

8210 E Mesquite Ridge Cir
Tucson, AZ 85710-4276
Phone (520) 302-1941

Other identifiers 1

IdentifierTypeStateIssuer
BH5084OtherAZAZ DEPT OF HEALTH SERVICES

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
BH5084AZMDRespite Care

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1013453968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 E MESQUITE RIDGE CIR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104276",
            "telephone_number": "520-302-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 E MESQUITE RIDGE CIR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104276",
            "telephone_number": "520-302-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NSABAKA",
        "first_name": "CHARLOTTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "BH5084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT OF HEALTH SERVICES",
            "identifier": "BH5084",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.