Christina Bazemore

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1804 Martin Luther King Pkwy Ste 109
Durham, NC 27707-3587

Phone

(919) 747-9172

NPI assigned

Oct 9, 2012

Last updated

Oct 9, 2012By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Straight Walk Family Services,IncGroup PAC ID 9133308877, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: straightwalkfamilyservices.christinabazemore@143676.advancedmd-direct.com

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.

• Straight Walk Family Services, Inc

  • Community/Behavioral Health Agency
  • Rocky Mount, NC
  • NPI 1467779603
  Medicare reassignment Care Compare group NPD
• Bazemore and Associates

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1851928998

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Dynamic Group Services

  • Community/Behavioral Health Agency
  • Rocky Mount, NC
  • NPI 1528847761
  NPD Authorized official
• Dynamic Group Services

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1972871036

  Professional

  NPD (past) Authorized official
• Straight Walk Family Services

  • Community/Behavioral Health Agency
  • Rocky Mount, NC
  • NPI 1164729497

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1649522053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 SPANGLERS SPRING WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106180",
            "telephone_number": "919-282-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 MARTIN LUTHER KING PKWY STE 109",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073587",
            "telephone_number": "919-747-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZEMORE",
        "first_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayada Home Health Care, Inc,
• Bayada Home Health Care, Inc.
• Bayada Home Health, Care, Inc.
• Emily Kay Bayes, PA-C
• Teah Martin Bayless, D.O.
• Nagham Bazzi, MD
• BD Solutions, LLC
• Be Kind Home Care LLC
• Julianne Beach, AGPCNP-BC
• Beacon Bridge LLC

• Addiction (Substance Use Disorder) Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.