TABETHA RICCA NPI 1497212542

NPI Information

NPI: 1497212542
Provider Name: TABETHA RICCA
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
113 E F ST
TEHACHAPI, CA
ZIP 93561
Phone: (661) 822-8223
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Tabetha Ricca is a peer specialist in Tehachapi, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Tabetha Ricca NPI is 1497212542. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

113 E F ST
TEHACHAPI, CA
ZIP 93561-710
Phone: (661) 822-8223
Fax: (661) 823-9347

The enumeration date for this NPI number is 2/25/2019 and was last updated on 2/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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