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ERIC PROVOST
NPI 1538052980
Day Training/Habilitation Specialist in Eureka, CA

Active since June 02, 2025

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2025, Jun 2, 2025 (2 updates tracked since 2025).

About Eric Provost NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC PROVOST (NPI 1538052980) is an individual day training/habilitation specialist in Eureka, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1538052980
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameERIC PROVOST
Location Address720 WOOD STEureka, CA 95501-4413
Mailing Address574 Pleasant AveEureka, CA 95503-6521 · (916) 467-9453
Phone(707) 268-2990
Sole ProprietorNo
Enumeration DateJune 2, 2025
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1538052980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedPeer SpecialistTaxonomy 175T00000X
720 WOOD ST, Eureka, CA 95501
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ASHLEY DAWN KINMAN
Case Manager/Care Coordinator
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
JACQUELYN WHITE
Counselor (Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
SHAWNA RECKINGER RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
ALLISON JUDY PHILLIPS RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
AIMEE LEEANNE WOODS LVN
Licensed Vocational Nurse
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
ERIC CARL VEDBORG LMFT
Marriage & Family Therapist
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2935
MS. LESLIE ANN PETERSEN
Registered Nurse
720 WOOD ST, HUMBOLDT COUNTY MENTAL HEALTH
EUREKA, CA 95501
Humboldt County (707) 445-7710
BARBARA MARY FRANKLIN RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 445-7710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Provost's NPI number?

The NPI number for Eric Provost is 1538052980. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Eric Provost located?

Eric Provost practices at 720 Wood St, Eureka, CA 95501. The listed phone number is (707) 268-2990.

What is Eric Provost's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Eric Provost was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.