Active NPI
Susan Joy Basting
- Licensed Practical Nurse
- Chico, CA
National Provider Identifier
1679774285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- VN61415
- Practice address
- 4776 Song Bird
Chico, CA 95973-9766 - Phone
- (530) 891-5442
- Fax
- (530) 892-2979
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | VN61415 | CA | Primary |
Addresses
Primary practice location
4776 Song Bird
Chico, CA 95973-9766
Mailing address
701 E Lassen Ave
#36
Chico, CA 95973-0751
Phone (530) 891-0822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RVNO04910 | Other | CA | MEDICAL |
| EPSO16770 | Other | CA | MEDICAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN61415 | CA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679774285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E LASSEN AVE",
"address_2": "#36",
"city": "CHICO",
"state": "CA",
"postal_code": "959730751",
"telephone_number": "530-891-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4776 SONG BIRD",
"city": "CHICO",
"state": "CA",
"postal_code": "959739766",
"telephone_number": "530-891-5442",
"fax_number": "530-892-2979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTING",
"first_name": "SUSAN",
"middle_name": "JOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CA",
"license": "VN61415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "RVNO04910",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "EPSO16770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.