Individual provider Active NPI

Babette Maiss, CMT,CLT

  • Durable Medical Equipment & Medical Supplies
  • Chico, CA
National Provider Identifier
1104248715
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
13 Williamsburg LN
Chico, CA 95926-2225
Phone
(530) 321-5668
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 31518 CA
Mastectomy FitterGroup: 193400000X SINGLE SPECIALTY GROUP 224900000X C70689 CA
Durable Medical Equipment & Medical Supplies 332B00000X CA Primary

Addresses

Primary practice location

13 Williamsburg LN
Chico, CA 95926-2225

Mailing address

4280 Green Meadow LN
Chico, CA 95973-9231
Phone (530) 321-5668

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
C70689CAMDMastectomy Fitter

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1104248715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 GREEN MEADOW LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959739231",
            "telephone_number": "530-321-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WILLIAMSBURG LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262225",
            "telephone_number": "530-321-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISS",
        "first_name": "BABETTE",
        "name_prefix": "Ms.",
        "credential": "CMT,CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "31518",
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": "CA",
            "license": "C70689",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.