Active NPI
Hanat Nambi Balimuttajjo
- Addiction (Substance Use Disorder) Counselor
- Modesto, CA
National Provider Identifier
1114567419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2000 W Briggsmore Ave Ste I
Modesto, CA 95350-3839 - Phone
- (209) 526-1476
- Fax
- (209) 526-0908
- NPI assigned
- Jan 14, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
2000 W Briggsmore Ave Ste I
Modesto, CA 95350-3839
Mailing address
2000 W Briggsmore Ave Ste I
Modesto, CA 95350-3839
Phone (209) 526-1476
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": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1114567419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 W BRIGGSMORE AVE STE I",
"city": "MODESTO",
"state": "CA",
"postal_code": "953503839",
"telephone_number": "209-526-1476",
"fax_number": "209-526-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W BRIGGSMORE AVE STE I",
"city": "MODESTO",
"state": "CA",
"postal_code": "953503839",
"telephone_number": "209-526-1476",
"fax_number": "209-526-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALIMUTTAJJO",
"first_name": "HANAT",
"middle_name": "NAMBI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.