Brett Anthony Atwood
Individual provider Active NPI Case Manager/Care Coordinator · Davis, CA
NPI 1336867969 · NPPES record last updated Sep 30, 2022
Key facts
- NPI
- 1336867969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1109 Chestnut LN
Davis, CA 95616-1302 - Phone
- (530) 753-2566
- NPI assigned
- Aug 19, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1109 Chestnut LN
Davis, CA 95616-1302
Mailing address
3348 Paseo Nuevo St
Sacramento, CA 95838-5106
Phone (530) 753-2566
Other providers in Davis, CA
- Gonzalo Jr Arriaga-Bocanegra Jr.
- Elizabeth Arroyo
- Arv Assisted Living, Inc
- Lybah Asad
- Attune Psychology California, P.C.
- Marina Awed
- Lindsey M Ayala
- Julia Susana Siu Baas
- Chantel Bachman
- Stephanie Anne Bagley
All providers in Davis, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2022. 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.