Anastasia Berenice Nunez, R14521221

Key facts

NPI

1417618588

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

License

R1454521221 (CA)

Practice address

705 S Court St
Visalia, CA 93277-2727

Phone

(559) 635-8010

NPI assigned

Dec 31, 2021

Sex

Female

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

State licenses

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 13, 2022.

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1417618588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772727",
            "telephone_number": "559-635-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772727",
            "telephone_number": "559-635-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "ANASTASIA",
        "middle_name": "BERENICE",
        "credential": "R14521221",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1454521221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anunez@cvrshome.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "705 S Court St",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932772727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Visalia, CA

• Novacare Outpatient Rehabilitation of California Inc
• Julie Novosel, C.M.T., L.M.T.
• Novus Medical Inc
• Maria Nowicki
• Tiffeny Nunes
• Diana Marie Nunez
• Donaciano Nunez
• Lizbeth Nunez
• Maria Nunez
• Richard John Nunez, CASE MANAGER

All providers in Visalia, CA · Addiction (Substance Use Disorder) Counselor in California