Bay Area Addiction Services

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

Legal business name

BAY AREA ADDICTION SERVICES

Practice address

2039 Forest Ave Ste 201
San Jose, CA 95128-4815

Phone

(800) 913-7917

Fax

(866) 828-6869

NPI assigned

May 15, 2019

Last updated

May 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amanda Kight, LAADC, CARN, RN

Title

Founder, Ceo

Phone

(800) 913-7917

Specialties & licenses 1

Addresses

Electronic endpoints 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1356907315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PALM VALLEY BLVD APT 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231047",
            "telephone_number": "800-913-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284815",
            "telephone_number": "800-913-7917",
            "fax_number": "866-828-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA ADDICTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "KIGHT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "FOUNDER, CEO",
        "authorized_official_telephone_number": "800-913-7917",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAADC, CARN, RN"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lexi@bayareaaddictionservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2039 Forest Ave Ste 201",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951284815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda@bayareaaddictionservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2039 Forest Ave Ste 201",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951284815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Registered Nurse in San Jose, CA
• Providers in San Jose, CA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.