Active NPI
Brittany Nicole Taber, MIB
- Case Manager/Care Coordinator
- Redlands, CA
National Provider Identifier
1912674516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- D8132266
- Practice address
- 1235 Indiana CT Ste 107
Redlands, CA 92374-4540 - Phone
- (909) 566-3358
- Fax
- (909) 757-6400
- NPI assigned
- Aug 23, 2021
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | D8132266 | CA | Primary |
Addresses
Primary practice location
1235 Indiana CT Ste 107
Redlands, CA 92374-4540
Mailing address
10168 Gould St Apt C
Riverside, CA 92503-1610
Phone (562) 536-9511
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 |
|---|---|---|---|
| D8132266 | CA | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starlight Therapy Center Inc | Current | Accepting new patients |
Locations
1235 Indiana Ct
Ste 107
Redlands, CA 92374
Phone (909) 566-3358
Organizations & group practices 1
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.
-
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- Highland, CA
- NPI 1386287878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1912674516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10168 GOULD ST APT C",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925031610",
"telephone_number": "562-536-9511",
"fax_number": "909-757-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 INDIANA CT STE 107",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744540",
"telephone_number": "909-566-3358",
"fax_number": "909-757-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABER",
"first_name": "BRITTANY",
"middle_name": "NICOLE",
"credential": "MIB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "D8132266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.