MRS. REBECCA ANN DRAGOMANI


Address: 260 Hospital Dr Ste 101, Ukiah, CA 95482
Phone: 7074637428

MRS. REBECCA ANN DRAGOMANI (NPI# 1568917938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568917938
Entity Type Individual
Full Name MRS. REBECCA ANN DRAGOMANI
Other Name MRS. REBECCA ANN RUSSELL
Credential MSN, FNP-BC
Practice Address 260 Hospital Dr Ste 101
Ukiah
CA 95482
Mailing Address 260 Hospital Dr Ste 101
Ukiah
CA 95482-4568
Practice Telephone 7074637428
Enumeration Date 2016-08-16
Last Update Date 2019-03-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
229292 NC Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95010639 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 1568917938 05
NC CAHQ 13933737 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
609 Professional Dr, Roxboro, NC 275734543 3365999257 3365991593

Office Location

Street Address 260 HOSPITAL DR STE 101
City UKIAH
State CA
Zip Code 95482

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003324492 Adventist Health Physicians Network Social Worker 260 Hospital Dr Ste 101, Ukiah, CA 95482-4568 2018-01-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932726726 Gloria Gonzalez Campise Midwife 205 W. Clay Street, Ukiah, CA 95482 2020-06-29
1083255095 Mendocino Care Network Internal Medicine 1080 N State St, Ukiah, CA 95482 2019-10-01
1801383153 Costco Wholesale Corporation Pharmacy 1275 Airport Park Blvd., Ukiah, CA 95482 2018-04-21
1922528256 Ian David Winter Case Manager/Care Coordinator 1120 S. Dora St, Ukiah, CA 95482 2017-06-27
1811362536 Manzanita Services, Inc. Community/Behavioral Health 410 W. Jones St., Ukiah, CA 95482 2015-12-07
1689061061 Pamela Mathias Counselor 367 East Gobbi Street, Suite E, Ukiah, CA 95482 2015-04-23
1275927030 Jack David Segel Counselor 564 Dora St., Ste.d, Ukiah, CA 95482 2015-03-19
1689070211 Mendocino County Youth Project Clinic/Center 347 Plum St, #b, Ukiah, CA 95482 2014-11-10
1346649951 Ae Ran Ku Dentist 1096 South Dora Street, Ukiah, CA 95482 2014-08-19
1679998439 Aurelie Carine Clivaz Case Manager/Care Coordinator 776 So. State St., Suite 107, Ukiah, CA 95482 2014-03-03
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City UKIAH
Zip Code 95482

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Dataset Information

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.

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