Carol Appel-Basham, P.A

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11245 Issued in CA

Practice address

Hwy 162 and Biggar Lane
Covelo, CA 95428

Phone

(707) 983-6181

NPI assigned

Jul 29, 2008

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Round Valley Indian Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Covelo, CA
  • NPI 1114136066
  NPD (past)
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  NPD (past)

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1033375191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "COVELO",
            "state": "CA",
            "postal_code": "954280247",
            "telephone_number": "707-983-6181",
            "fax_number": "707-983-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 162 AND BIGGAR LANE",
            "city": "COVELO",
            "state": "CA",
            "postal_code": "95428",
            "telephone_number": "707-983-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPEL-BASHAM",
        "first_name": "CAROL",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730237116",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275710006",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurence Richard Alavezos, M.D.
• Dasiana Champagne
• Covelo Ambulance Service
• Maria V Danilychev, M.D.
• Craig B Emerson, DDS
• Rose Margarette Johnson, DENTAL HYGIENIST

• Physician Assistant in Covelo, CA
• Providers in Covelo, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.