Individual provider Active NPI

Rachelle Busico, CCM

  • Case Manager/Care Coordinator
  • Tooele, UT
National Provider Identifier
1255044780
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
34 S Main St
Tooele, UT 84074-2132
Phone
(435) 843-1677
NPI assigned
Dec 29, 2022
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X UT Primary

Addresses

Primary practice location

34 S Main St
Tooele, UT 84074-2132

Mailing address

251 N 1St St
Tooele, UT 84074-2557
Phone (435) 228-5151

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rachelleb@tooelecrc.org Friends of Switchpoint Inc.

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": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1255044780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N 1ST ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742557",
            "telephone_number": "435-228-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742132",
            "telephone_number": "435-843-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSICO",
        "first_name": "RACHELLE",
        "credential": "CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rachelleb@tooelecrc.org",
            "affiliation": "Y",
            "affiliationName": "Friends of Switchpoint Inc.",
            "address_1": "948 N 1300 W # 1",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847704965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.