MRS. RICHELLE JEANNINE DRAKE (NPI# 1164791935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164791935 |
| Entity Type | Individual |
| Full Name | MRS. RICHELLE JEANNINE DRAKE |
| Credential | CLT, MT |
| Practice Address |
15117 Haynes St. Van Nuys CA 91411-1418 |
| Practice Telephone | 8189016555 |
| Practice Fax Number | 8189016555 |
| Mailing Telephone | 8189016555 |
| Mailing Fax Number | 8189016555 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
15117 HAYNES ST. |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91411-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517085 | Full Heart Hospice and Palliative Care Inc | Hospice Care, Community Based | 14543 Friar Street, Ste. 102, Van Nuys, CA 91411 | 2020-10-29 |
| 1639632078 | Primary Care Homehealthcare Inc | Home Health | 14545 Friar Street, Suite 203-2, Van Nuys, CA 91411 | 2019-04-11 |
| 1639639800 | Jacklynne Marder | Counselor | 5900 Sepulveda Bld., Sherman Oaks, CA 91411 | 2019-03-22 |
| 1710478581 | Adriana Abraamyan | Rehabilitation Practitioner | 14515 Hamlin St Ste 103, Van Nuys, CA 91411 | 2018-05-28 |
| 1154820595 | Sls Home Health Inc. | Hospice Care, Community Based | 6411 Sepulveda Blvd Ste 1d, Van Nuys, CA 91411 | 2018-02-11 |
| 1376073197 | Age Well Congregate Living, Inc | Hospice Care, Community Based | 15149 Sylvan Street, Van Nuys, CA 91411 | 2017-06-14 |
| 1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
| 1740732023 | Behavior Trend | Behavioral Analyst | 5658 Sepulveda Blvd Ste 200, Sherman Oaks, CA 91411 | 2016-11-02 |
| 1851764682 | Deft Solutions | Clinic/Center | 15128 Burbank Blvd, 210, Sberman Oaks, CA 91411 | 2015-11-02 |
| 1417332941 | Marianna Mirakyan | Behavioral Analyst | 14980 Victory Blvd #202, Van Nuys, CA 91411 | 2015-07-27 |
| Find all providers in zip 91411 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547474 | June Sean | Orthotic Fitter | 1830 W Olympic Blvd Ste 123, Los Angeles, CA 90006-3734 | 2019-09-16 |
| 1265930903 | Advanced Therapy Center | Orthotic Fitter | 3475 Torrance Blvd Ste B2, Torrance, CA 90503-5800 | 2018-01-29 |
| 1740796754 | Vincent Leonard Reeves | Orthotic Fitter | 1815 Orange St, National City, CA 91950-6127 | 2017-12-28 |
| 1801244389 | Colleen Wendtland | Orthotic Fitter | 1468 Pepper Ln, Banning, CA 92220-1469 | 2016-05-25 |
| 1336487263 | Covenant Billing Services, Inc | Orthotic Fitter | 5817 Pine Ave, Suite B, Chino Hills, CA 91709-6533 | 2013-01-28 |
| 1497041438 | Peter P Kim | Orthotic Fitter | 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 | 2011-06-28 |
| 1659602423 | Suzanne Pilegaard | Orthotic Fitter | 101 Wikup Drive, Suite C, Santa Rosa, CA 95403-1375 | 2010-01-19 |
| 1598098139 | Ryan Michael Solberg | Orthotic Fitter | 10361 Estates Drive, Truckee, CA 96161 | 2009-09-15 |
| 1467683805 | Abelardo Ramos | Orthotic Fitter | 227 E Chapman Ave, Suite A, Orange, CA 92866-1534 | 2009-08-03 |
| 1982871166 | Healing Hands Rehab Inc | Orthotic Fitter | 23586 Calabasas Rd Ste 206, Calabasas, CA 91302-1330 | 2008-05-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.