Stefanie Basso, CPT CNS, MS

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

2717254 Issued in CA

Practice address

6612 Mission Gorge Rd Ste B
San Diego, CA 92120-2346

Phone

(808) 226-2113

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1114644267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 PORTE DE MERANO UNIT 92",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221935",
            "telephone_number": "808-226-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 MISSION GORGE RD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202346",
            "telephone_number": "808-226-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSO",
        "first_name": "STEFANIE",
        "credential": "CPT CNS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "2717254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.steffitness.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6612 Mission Gorge Rd Ste B",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Michael Bassey, RN
• Harjot Kaur Bassi, MD
• Mary Bassi, BSN RN
• Jonathan Edward Bassig, MD
• Dara L Bassin, MS, CCC-SLP
• Ryan Bast
• Mariam Bastawrous
• Hailey Bastecki, RN
• Alec Dowell Basterrechea, DO
• Ingmar Niels Bastian, STUDENT

• Nutrition Education Nutritionist in San Diego, CA
• Providers in San Diego, CA by specialty
• Nutrition Education Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.