Active NPI
Marie Frances Bastin, RN
- Community Health Registered Nurse
- Teec Nos Pos, AZ
National Provider Identifier
1598102022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 156040-30
- Practice address
- US Hwy 160 & Navajo Route 35 - Red Mesa
Four Corners Regional Health Center
Teec Nos Pos, AZ 86514 - Phone
- (928) 656-5000
- NPI assigned
- May 23, 2013
- Last updated
- May 23, 2013
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 156040-30 | WI | Primary |
Addresses
Primary practice location
US Hwy 160 & Navajo Route 35 - Red Mesa
Four Corners Regional Health Center
Teec Nos Pos, AZ 86514
Mailing address
HC 61 Box 30
Four Corners Regional Health Center
Teec Nos Pos, AZ 86514
Phone (928) 656-5000
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156040-30 | WI | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Shiprock Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Four Corners Regional Health Center
- Durable Medical Equipment & Medical Supplies
- Teec Nos Pos, AZ
- NPI 1215083951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1598102022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 61 BOX 30",
"address_2": "FOUR CORNERS REGIONAL HEALTH CENTER",
"city": "TEEC NOS POS",
"state": "AZ",
"postal_code": "86514",
"telephone_number": "928-656-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US HWY 160 & NAVAJO ROUTE 35 - RED MESA",
"address_2": "FOUR CORNERS REGIONAL HEALTH CENTER",
"city": "TEEC NOS POS",
"state": "AZ",
"postal_code": "86514",
"telephone_number": "928-656-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTIN",
"first_name": "MARIE",
"middle_name": "FRANCES",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-23",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "WI",
"license": "156040-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teec Nos Pos, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.