MRS. ROBERTA AINSLIE BASIST N.P. NPI 1750338802

NPI Information

  • NPI: 1750338802
  • Provider Name: MRS. ROBERTA AINSLIE BASIST, N.P.
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 1930 MYRTLE AVE
    EUREKA, CA
    ZIP 95501
  • Phone: (707) 443-3557

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NPI Details

MRS. Roberta Ainslie Basist, N.P. is a women's health nurse practitioner in Eureka, CA. MRS. Roberta Ainslie Basist, N.P. NPI is 1750338802. 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:

1930 MYRTLE AVE
EUREKA, CA
ZIP 95501-406
Phone: (707) 443-3557
Fax: (707) 443-3971

The enumeration date for this NPI number is 5/27/2006 and was last updated on 3/22/2010.

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
1363LW0102XNurse PractitionerWomen's Health247314CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S50961MEDICARE UPINCALIFORNIA
2ZZZ14418ZMEDICARE PINCALIFORNIA
300G654330MEDICAIDCALIFORNIA

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: 11/21/2025

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