Heather Eccarius
Individual provider Active NPI Rehabilitation Practitioner · Fort Bragg, CA
NPI 1326798299 · NPPES record last updated Apr 12, 2023
Key facts
- NPI
- 1326798299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 544 S Main St
Fort Bragg, CA 95437-5107 - Phone
- (707) 467-2010
- NPI assigned
- Mar 24, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Community Services, Inc. | Mental Health | Past |
Accepting new patients |
| Redwood Community Services, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
544 S Main St
Fort Bragg, CA 95437-5107
Mailing address
PO Box 2077
Ukiah, CA 95482-2077
Phone (707) 467-2010
Other practice location 1
780 S Dora St
Ukiah, CA 95482-5348
Phone (707) 467-9065
Other providers in Fort Bragg, CA
- Kate Teresa Donohue
- Josie Drake
- Julie Drucker
- Jean Dyer Yost
- Julia Eagles
- Peter James Economen
- Lisa Edens-Tan
- Jessica Ehlers
- Colonie Elder
- Emk Medical Billing, LLC
All providers in Fort Bragg, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.