Individual provider Active NPI

Nicole Todd Isbell

  • Student in an Organized Health Care Education/Training Program
  • San Diego, CA
National Provider Identifier
1386405017
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
39020000X Issued in CA
Practice address
1621 La Playa Ave Apt 24
San Diego, CA 92109-6473
Phone
(619) 746-0669
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 39020000X CA Primary

Addresses

Primary practice location

1621 La Playa Ave Apt 24
San Diego, CA 92109-6473

Mailing address

946 9TH St Apt D
Santa Monica, CA 90403-2838
Phone (530) 906-2773

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

State licenses

LicenseStateTypeSpecialty
39020000XCAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Relational Well-Being, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Center for Mental Health Excellence, Inc CurrentSince Feb 1, 2024 Accepting new patients

Locations

5005 Texas St
Ste 106
San Diego, CA 92108
Phone (619) 335-5113

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1386405017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 9TH ST APT D",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032838",
            "telephone_number": "530-906-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 LA PLAYA AVE APT 24",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096473",
            "telephone_number": "619-746-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISBELL",
        "first_name": "NICOLE",
        "middle_name": "TODD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "39020000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.