Active NPI
Roberta Jo Bass, AU.D.
- Audiologist
- Redding, CA
National Provider Identifier
1396777959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU1576
- Practice address
- 351 Hartnell Ave
Redding, CA 96002-1845 - Phone
- (530) 244-8830
- NPI assigned
- Jul 6, 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU1576 | CA | Primary |
Addresses
Primary practice location
351 Hartnell Ave
Redding, CA 96002-1845
Mailing address
351 Hartnell Ave
Redding, CA 96002-1845
Phone (530) 244-8830
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
| License | State | Type | Specialty |
|---|---|---|---|
| AU1576 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1396777959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 HARTNELL AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960021845",
"telephone_number": "530-244-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 HARTNELL AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960021845",
"telephone_number": "530-244-8830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "ROBERTA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.