Active NPI
Nicole Navarre
- Substance Use Disorder Rehabilitation Clinic/Center
- Carlsbad, CA
National Provider Identifier
1154864510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 201506118LPN
- Practice address
- 6185 Paseo del Norte Ste 150
Carlsbad, CA 92011-1155 - Phone
- (855) 259-2288
- NPI assigned
- Dec 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 201506118LPN | OR | Primary |
Addresses
Primary practice location
6185 Paseo del Norte Ste 150
Carlsbad, CA 92011-1155
Mailing address
6601 NE 78TH CT Ste A3
Portland, OR 97218-2823
Phone (503) 252-3949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028382 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201506118LPN | OR | MD | Substance Use Disorder Rehabilitation Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1154864510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 NE 78TH CT STE A3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972182823",
"telephone_number": "503-252-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6185 PASEO DEL NORTE STE 150",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920111155",
"telephone_number": "855-259-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRE",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-02",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "OR",
"license": "201506118LPN",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028382",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.