Christia Bactista

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A4792 Issued in OR

Practice address

328 S Central Ave Ste 211
Medford, OR 97501

Phone

(541) 531-5447

NPI assigned

Aug 11, 2014

Last updated

Jun 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1588073837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 582",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010039",
            "telephone_number": "541-531-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S CENTRAL AVE STE 211",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97501",
            "telephone_number": "541-531-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACTISTA",
        "first_name": "CHRISTIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A4792",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500706503",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Anne Baca, FNP
• Andrew M Bacha IV, DPT
• Rachel Bachman
• Jason Backus, DDS
• Natalie Bacon
• Arianna Badizadegan, M.S.
• Melodee Kay Badley, FNP
• Philip C Baehmann, R.PH.
• Colleen Collette Baehr
• Liza Baer

• Clinical Social Worker in Medford, OR
• Providers in Medford, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.