Active NPI
Jean Basnight, DO
- Family Medicine Physician
- Havelock, NC
National Provider Identifier
1891783056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200701959
- Practice address
- 1224 E Main St
Havelock, NC 28532 - Phone
- (252) 447-7474
- NPI assigned
- Oct 12, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 2007-01959 | NC | |
| Family Medicine Physician | 207Q00000X | 200701959 | NC | Primary |
Addresses
Primary practice location
1224 E Main St
Havelock, NC 28532
Mailing address
110 Staffordshire Drive
New Bern, NC 28562-8441
Other practice location 1
806 Bell Fork Rd
Jacksonville, NC 28540-6312
Phone (910) 347-2205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139638419 | Medicaid | TX | |
| 8P5517 | Other | TX | BCBS PROV. NO. |
Other names 1
- Jean Tschuschke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080730000761 | NC | Practitioner - Family Practice | 7810957792 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200701959 | NC | MD | Family Medicine Physician |
| 2007-01959 | NC | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nags Head Treatment Center LLC | Current | Accepting new patients | |
| Kinston Physicians Group, PLLC | Current | Accepting new patients | |
| Morehead City Treatment Center, LLC | Current | Accepting new patients | |
| Jacksonville Treatment Center | Current | Accepting new patients | |
| Ghep Corpus Christi PLLC | Past | Accepting new patients |
Locations
291 Huff Dr
Jacksonville, NC 28546
Phone (910) 343-0119
100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000
309 Commerce Ave
Morehead City, NC 28557
Phone (252) 773-0306
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Jacksonville, NC
- NPI 1750821229
-
- Community/Behavioral Health Agency
- Morehead City, NC
- NPI 1538648944
-
- Community/Behavioral Health Agency
- Nags Head, NC
- NPI 1710518378
-
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1174511133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530316800000",
"number": "1891783056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 STAFFORDSHIRE DRIVE",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285628441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 E MAIN ST",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "28532",
"telephone_number": "252-447-7474"
}
],
"practiceLocations": [
{
"address_1": "806 Bell Fork Rd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285406312",
"country_code": "US",
"telephone_number": "910-347-2205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASNIGHT",
"first_name": "JEAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2018-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NC",
"license": "2007-01959",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200701959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139638419",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV. NO.",
"identifier": "8P5517",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "TSCHUSCHKE",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Havelock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.