Individual provider Active NPI

Brittany Bazelak, MSN

  • School Registered Nurse
  • Ukiah, CA
National Provider Identifier
1467367474
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN95235059 Issued in CA
Practice address
2240 Old River Rd
Ukiah, CA 95482-6103
Phone
(707) 467-5184
NPI assigned
Aug 14, 2026
Sex
Female
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN95235059 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2240 Old River Rd
Ukiah, CA 95482-6103

Mailing address

2240 Old River Rd
Ukiah, CA 95482-6103

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2026.

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1467367474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 OLD RIVER RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 OLD RIVER RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826103",
            "telephone_number": "707-467-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZELAK",
        "first_name": "BRITTANY",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "RN95235059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.