Jody Lee Brabham, CAS II

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

03-108260 Issued in CA

Practice address

2740 Oro Dam Blvd E
Oroville, CA 95966-5117

Phone

(530) 533-5272

Fax

(530) 533-5821

NPI assigned

Sep 5, 2012

Last updated

Sep 5, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tri County Treatment

  • Substance Abuse Rehabilitation Facility
  • Oroville, CA
  • NPI 1568710747
  NPD (past)

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1790034973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 ORO DAM BLVD",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "95966",
            "telephone_number": "530-533-5272",
            "fax_number": "530-533-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 ORO DAM BLVD E",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959665117",
            "telephone_number": "530-533-5272",
            "fax_number": "530-533-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABHAM",
        "first_name": "JODY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CAS II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "03-108260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick E Borel, LCSW
• Elizabeth Ann Bottini
• Cynthia Lynn Bowen, RAS I
• Jane Irene Bowen
• Martha Anne Braaten, NP
• Steven Justin Bradley
• Brittnee Lynn Bragg
• Brigitte Branker, RDH
• Nikhraj Brar, M.D.
• Larry L Brashaw, MFT I

• Case Manager/Care Coordinator in Oroville, CA
• Providers in Oroville, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.