Kristie Soleil Bacus Tabada, BSN - Registered Nurse in Roseville, CA

Kristie Soleil Bacus Tabada, BSN is a Registered Nurse based in Roseville, California. Kristie Soleil Bacus Tabada is licensed to practice in California (license number 95352331) and her current practice location is 4065 Knobby Crest Way, Roseville, California. She can be reached at her office (for appointments etc.) via phone at (253) 241-9391.

NPI number for Kristie Soleil Bacus Tabada is 1487410973 and her current mailing address is 4065 Knobby Crest Way, Roseville, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487410973.

Contact Information

Kristie Soleil Bacus Tabada, BSN
4065 Knobby Crest Way,
Roseville, CA 95747-4543
(253) 241-9391
Not Available

Map and Direction




Provider's Profile

Full NameKristie Soleil Bacus Tabada
GenderFemale
SpecialityRegistered Nurse
Location4065 Knobby Crest Way, Roseville, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487410973
  • Provider Enumeration Date: 02/22/2024
  • Last Update Date: 02/22/2024

Medical Identifiers

Medical identifiers for Kristie Soleil Bacus Tabada such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487410973NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 95352331 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristie Soleil Bacus Tabada is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristie Soleil Bacus Tabada, BSN
4065 Knobby Crest Way,
Roseville, CA 95747-4543

Ph: (253) 241-9391
Kristie Soleil Bacus Tabada, BSN
4065 Knobby Crest Way,
Roseville, CA 95747-4543

Ph: (253) 241-9391

Reviews and Comments


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