Individual provider Active NPI

Carol Elizabeth Todd, R.N.,C.S.,F.N.P.

  • Family Nurse Practitioner
  • Barstow, CA
National Provider Identifier
1447378757
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP8271 Issued in CA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NP8271OtherCALICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200305002245 CA Practitioner - Nurse Practitioner 2668654203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP8271CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Basa, M.D., Inc. CurrentSince Jan 1, 2020 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.

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

Verify at the official NPI Registry.