Active NPI
Wendy Jill Tice
- Case Manager/Care Coordinator
- Chico, CA
National Provider Identifier
1295896371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 564 Rio Lindo Avenue
Suite 204
Chico, CA 95926 - Phone
- (530) 879-3950
- Fax
- (530) 879-3949
- NPI assigned
- Dec 13, 2006
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
564 Rio Lindo Avenue
Suite 204
Chico, CA 95926
Mailing address
564 Rio Lindo Ave
Ste 204
Chico, CA 95926
Phone (530) 895-6678
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": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295896371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 RIO LINDO AVE",
"address_2": "STE 204",
"city": "CHICO",
"state": "CA",
"postal_code": "95926",
"telephone_number": "530-895-6678",
"fax_number": "530-879-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 RIO LINDO AVENUE",
"address_2": "SUITE 204",
"city": "CHICO",
"state": "CA",
"postal_code": "95926",
"telephone_number": "530-879-3950",
"fax_number": "530-879-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICE",
"first_name": "WENDY",
"middle_name": "JILL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.