Active NPI
Carol Elizabeth Todd, R.N.,C.S.,F.N.P.
- Family Nurse Practitioner
- Barstow, CA
National Provider Identifier
1447378757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP8271
- Practice address
- 705 E Virginia Way Ste F
Barstow, CA 92311-3955 - Phone
- (760) 256-1227
- Fax
- (760) 256-6829
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP8271 | CA | Primary |
Addresses
Primary practice location
705 E Virginia Way Ste F
Barstow, CA 92311-3955
Mailing address
705 E Virginia Way Ste F
Barstow, CA 92311-3955
Phone (760) 256-1227
Other practice location 1
106 Parkview Dr
Laurens, SC 29360-2652
Phone (864) 984-0571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP8271 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP8271 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica Basa, M.D., Inc. | Current | Accepting new patients |
Locations
705 E Virginia Way
Ste F
Barstow, CA 92311
Phone (760) 256-1226
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Barstow, CA
- NPI 1194844597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1447378757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 E VIRGINIA WAY STE F",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923113955",
"telephone_number": "760-256-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 E VIRGINIA WAY STE F",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923113955",
"telephone_number": "760-256-1227",
"fax_number": "760-256-6829"
}
],
"practiceLocations": [
{
"address_1": "106 Parkview Dr",
"address_purpose": "LOCATION",
"city": "Laurens",
"state": "SC",
"postal_code": "293602652",
"country_code": "US",
"telephone_number": "864-984-0571",
"fax_number": "864-984-3610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TODD",
"first_name": "CAROL",
"middle_name": "ELIZABETH",
"credential": "R.N.,C.S.,F.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP8271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "NP8271",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.