Tammerab Baudizzon

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

51 Industrial Way
333 Tom Bell Rd
Weaverville, CA 96093

Phone

(530) 623-1204

Fax

(530) 623-1237

NPI assigned

Aug 19, 2015

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Trinity County Probation

  • Case Management Agency
  • Weaverville, CA
  • NPI 1710342720
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1134595614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "address_2": "333 TOM BELL RD",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960930158",
            "telephone_number": "530-623-1204",
            "fax_number": "530-623-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 INDUSTRIAL WAY",
            "address_2": "333 TOM BELL RD",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "96093",
            "telephone_number": "530-623-1204",
            "fax_number": "530-623-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUDIZZON",
        "first_name": "TAMMERAB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "C3315806",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Lynn Ashton-Boyd, MFT INTERN
• Carolyn Atterberry
• Melissa Anne Daluz Avila, BSN, RN, PHN
• Mary Baracco, CNM NP
• Katie Ziser Barone, DPT
• Steven Bayless
• April Asher Beard
• Dawn B Bennett
• Angela Marie Benson
• Alice Ann Berg

• All providers in Weaverville, CA
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.