Active NPI
Brouillette Noel Anthony
- Community Health Worker
- Bakersfield, CA
National Provider Identifier
1073082459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 3300 Truxtun Ave
Bakersfield, CA 93301-3137 - Phone
- (616) 868-7871
- Fax
- (661) 868-1839
- NPI assigned
- Nov 15, 2018
- Last updated
- Oct 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
3300 Truxtun Ave
Bakersfield, CA 93301-3137
Mailing address
PO Box 1000
Bakersfield, CA 93302-1000
Phone (661) 868-6601
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1073082459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933021000",
"telephone_number": "661-868-6601",
"fax_number": "661-868-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 TRUXTUN AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013137",
"telephone_number": "616-868-7871",
"fax_number": "661-868-1839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "BROUILLETTE",
"middle_name": "NOEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-15",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
- Michael Greg Ante Sr., RAS
- Kristine Em Antesoda
- Anthony G. Ching (southwest family dentistry)
- Anthony Joseph Thomas M.D. (The Kids Shop)
- Anthony Tarango DDS, Inc. (Smile Designers)
- Elaine Ruth Anthony, RN PHN BSN
- Rosemarie Antolin, RN
- Antonia C. Chalmers, M.D., Inc.
- Chibuike Anucha, MD
- Kristen Eileen Anucha, WHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.