Nicole Bassuk
Individual provider Active NPI Case Manager/Care Coordinator · Eureka, CA
NPI 1689065732 · NPPES record last updated Feb 11, 2015
Key facts
- NPI
- 1689065732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 3960 Walnut Dr
Eureka, CA 95503-8938 - Phone
- (707) 268-8722
- NPI assigned
- Feb 11, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Counseling Center | Past | Accepting new patients | |
| Remi Vista Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
3960 Walnut Dr
Eureka, CA 95503-8938
Mailing address
3960 Walnut Dr
Eureka, CA 95503-8938
Other providers in Eureka, CA
- Brittnay Bartges
- Wayne Joseph Barton
- Jamaica Blossom Bartz
- Roberta Ainslie Basist
- Rachel Bass
- Theresa Marie Bates
- Mandi Lisette Battles
- Elizabeth Bauer
- James Kim Bauriedel
- Katelyn Molly Bawcom
All providers in Eureka, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.