Krista Bruffett, MA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

900360 Issued in CA

Practice address

4600 Broadway
Sacramento, CA 95820-1527

Phone

(916) 874-9823

Fax

(916) 854-9614

NPI assigned

Feb 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Krista Sorber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1972060150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BROADWAY STE 1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201527",
            "telephone_number": "916-874-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BROADWAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201527",
            "telephone_number": "916-874-9823",
            "fax_number": "916-854-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUFFETT",
        "first_name": "KRISTA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "900360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "ZZR11521F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "SORBER",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Autumn Y. Bruce-Scott, LPCC
• Sabrina Claire Bruce, MHA 1
• Samantha Bruce
• Thomas Brudz, P.A.-C, ATC
• David Anthony Brueggeman, MD
• Mark Brufladt, PTA
• Dan Lee Brugger, MD
• Kevin Leopold Brugman
• Katie Brumfield, LMFT
• Rachael S Brumfield

• Community Health Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.