Brett Anthony Atwood
Case Manager/Care Coordinator in Davis, CA. Individual provider (NPI-1).
NPI number1336867969
StatusActive
Last updated in NPPESSep 30, 2022
Details
- NPI
- 1336867969
- Entity type
- Individual (NPI-1)
- Name
- Brett Anthony Atwood
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2022
- Certification date
- Sep 30, 2022
- Last updated
- Sep 30, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
1109 Chestnut LnDavis, CA 95616-1302
Phone 530-753-2566
Mailing address
3348 Paseo Nuevo StSacramento, CA 95838-5106
Phone 530-753-2566
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 29 Case Manager/Care Coordinator providers in Davis · All 1,968 providers in Davis
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