Roberta Ainslie Basist, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

247314 Issued in CA

Practice address

1930 Myrtle Ave
Eureka, CA 95501-1406

Phone

(707) 443-3557

Fax

(707) 443-3971

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1750338802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011406",
            "telephone_number": "707-443-3557",
            "fax_number": "707-443-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011406",
            "telephone_number": "707-443-3557",
            "fax_number": "707-443-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIST",
        "first_name": "ROBERTA",
        "middle_name": "AINSLIE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "247314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G654330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharina Anne Barrett, CASE MANAGER
• Peter Henry Barrett
• Brittnay Bartges
• Wayne Joseph Barton, RN
• Jamaica Blossom Bartz
• Rachel Bass, ASW
• Nicole Bassuk
• Theresa Marie Bates
• Mandi Lisette Battles, PA-C
• Elizabeth Bauer

• All providers in Eureka, CA
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.