JORDENNE RACHELLE (NPI# 1427460823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427460823 |
| Entity Type | Individual |
| Full Name | JORDENNE RACHELLE |
| Credential | MA |
| Practice Address |
133 Grove St Boulder Creek CA 95006-8910 |
| Practice Telephone | 4088297961 |
| Mailing Telephone | 4088297961 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
133 GROVE ST |
| City | BOULDER CREEK |
| State | CA |
| Zip Code | 95006-8910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952529133 | Keith E Johnson | Dentist | 13270 Big Basin Way, Boulder Creek, CA 95006 | 2007-04-23 |
| 1144396292 | Erin Eileen Carlson-jones | Social Worker | 1600 W. Campbell Ave., Suite 201, Campbell, CA 95006 | 2006-11-28 |
| 1386722353 | Debra Ann Woo | Dentist | 12880 Hwy 9, Boulder Creek, CA 95006 | 2006-11-01 |
| 1578643862 | Julie Anya Broder | Acupuncturist | 12704 Hwy 9, Boulder Creek, CA 95006 | 2006-10-17 |
| 1629165584 | Boulder Creek Pharmacy | Pharmacy | 13081 Central Ave, Boulder Creek, CA 95006 | 2006-10-10 |
| 1730182163 | Howard & Tibbetts Physical Therapy, Inc. | Physical Therapist | 13350 West Park Ave, Ste A2, Boulder Creek, CA 95006 | 2005-05-31 |
| 1467570697 | Christopher Ernest Mayer | Pharmacist | 13081 Central Ave, Boulder Creek, CA 95006 | 2007-03-26 |
| 1932282498 | Julia Diane Crawford | Family Medicine | 13350 Big Basin Way, Boulder Creek, CA 95006 | 2006-10-20 |
| 1790710515 | Patrick Brendan Rogers | Chiropractor | 13266 Highway 9, Suite A, Boulder Creek, CA 95006-8913 | 2006-07-11 |
| 1508481631 | Anna Sramek | Dietitian, Registered | 515 Steller Way, Boulder Creek, CA 95006-9053 | 2020-06-15 |
| Find all providers in zip 95006 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1801497854 | Amor Serra | Counselor | 1543 Colusa Pl, Salinas, CA 93906-2512 | 2020-11-05 |
| 1003417080 | Mary Williams | Counselor | 8032 Twin Oaks Ave, Citrus Heights, CA 95610-0510 | 2020-11-05 |
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1417558974 | Diosa Marriage and Family Therapy PC | Counselor | 14420 Civic Dr Ste 6, Victorville, CA 92392-2384 | 2020-11-02 |
| 1669072302 | Imani Rivers | Counselor | 135 Gateway Ct, Vallejo, CA 94589-4339 | 2020-10-30 |
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1093314536 | Ryan Tyler Corbin | Counselor | 9075 Elk Grove Blvd, Elk Grove, CA 95624-2070 | 2020-10-24 |
| Find all providers with the same taxonomy | ||||
| City | BOULDER CREEK |
| Zip Code | 95006 |
Please comment or provide details below to improve the information on JORDENNE RACHELLE.
| 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.