MRS. STELLA YEVETTE TILLMAN (NPI# 1609417948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609417948 |
| Entity Type | Individual |
| Full Name | MRS. STELLA YEVETTE TILLMAN |
| Other Name | MRS. STELLA YVETTE TILLMAN |
| Credential | STELLA ADAMS |
| Practice Address |
3600 Power Inn Rd Sacramento CA 95826-3826 |
| Mailing Address |
4241 Florin Rd Sacramento CA 95823-2535 |
| Practice Telephone | 9166288740 |
| Mailing Telephone | 9166288740 |
| Mailing Fax Number | 9164532707 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
R1320390818 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4241 Florin Rd, Sacramento, CA 958232535 | 9166288740 |
| Street Address |
3600 POWER INN RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95826-3826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649476037 | Carla Ambrose | Social Worker | 3600 Power Inn Rd, Suite A-6, Sacramento, CA 95826-3826 | 2007-06-22 |
| 1629611298 | Patrick Michael Daleiden | Counselor | 3600 Power Inn Rd, Sacramento, CA 95826-3826 | 2019-10-25 |
| 1124661798 | Alyssia Staats | Counselor | 3600 Power Inn Rd, Sacramento, CA 95826-3826 | 2019-10-25 |
| 1871155861 | Renee Belle Jones | Counselor | 3600 Power Inn Rd, Sacramento, CA 95826-3826 | 2019-07-01 |
| 1326601154 | Andra Walker | Counselor | 3600 Power Inn Rd, Sacramento, CA 95826-3826 | 2019-04-17 |
| 1982167441 | Bryan Vincent Broussard | Counselor | 3600 Power Inn Rd, Sacramento, CA 95826-3826 | 2019-04-11 |
| 1609339035 | Briana Jennings | Counselor | 3600 Power Inn Rd, Sacramento, CA 95826-3826 | 2019-04-11 |
| 1952865602 | Debra Jewel Mathews | Counselor | 3600 Power Inn Rd, Sacramento, CA 95826-3826 | 2019-01-28 |
| 1821585159 | Lorraine Williams | Counselor | 3600 Power Inn Rd, Sacramento, CA 95826-3826 | 2018-04-23 |
| 1922538594 | Jori Ann Shaffer | Counselor | 3600 Power Inn Rd, Sacramento, CA 95826-3826 | 2017-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688094 | Brooke Oliver | Behavior Technician | Sacramento 8801 Folsom Blvd., Ste. 195, Sacramento, CA 95826 | 2020-01-10 |
| 1679126908 | Albert Einstein Middle School /sacramento City Unified School District | Local Education Agency (LEA) | 9325 Mirandy Drive, Albert Einstein Middle School, Sacramento, CA 95826 | 2019-07-16 |
| 1487146833 | Sarah Collins | Counselor | 4212 Westporter Dr, Sacramento, CA 95826 | 2018-06-01 |
| 1831609221 | Stacey Ann Moote | Behavior Technician | 8795 La Riviera Dr 169, 169, Sacramento, CA 95826 | 2017-10-11 |
| 1033649041 | Joseph Stephen Rapozo | Counselor | 3600 Power Inn Road, Sacramento, CA 95826 | 2017-06-13 |
| 1497201289 | Maureen Belli-bomgardner | Counselor | 3201 Florin Perkins Road, Sacramento, CA 95826 | 2016-08-31 |
| 1316317613 | Tlcs, Inc. | Community/Behavioral Health | 9342 Tech Center Drive, Ste.600, Sacramento, CA 95826 | 2015-09-29 |
| 1942683479 | Tlcs, Inc. | Community/Behavioral Health | 9333 Tech Center Drive, Ste. 100, Sacramento, CA 95826 | 2015-07-01 |
| 1881071157 | Rene Frentzen | Case Manager/Care Coordinator | 9394 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2015-05-06 |
| 1184026262 | Bojana Pandurevic | Marriage & Family Therapist | 9343 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2014-09-21 |
| Find all providers in zip 95826 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944702 | Celeste De La Cruz | Specialist/Technologist | 8724 Cord Way, Sacramento, CA 95828-5832 | 2020-02-20 |
| 1992335186 | Joel Cantu | Specialist/Technologist | 2781 Castle Hill Ct Apt 38, Sacramento, CA 95821-5820 | 2020-01-16 |
| 1295388361 | Stacy Hatsumi Miller | Specialist/Technologist | 1919 Spanos Ct, Sacramento, CA 95825-3981 | 2019-07-18 |
| 1215495601 | Morgan Fong | Specialist/Technologist | 168 Arbusto Cir, Sacramento, CA 95831-4560 | 2019-03-05 |
| 1194240630 | Kevin Christofer Abdelnour | Specialist/Technologist | 6866 Sailboat Way, Sacramento, CA 95831 | 2017-08-05 |
| 1770012296 | Jennifer Dawnflower Mathe | Specialist/Technologist | 2533 R St, Sacramento, CA 95816-6887 | 2017-06-08 |
| 1568990737 | John Ledford | Specialist/Technologist | 8036 Maybelline Way, Sacramento, CA 95823-4827 | 2017-05-31 |
| 1518400985 | Lynea Elaine Adams | Specialist/Technologist | 2090 Mangrum Ave, Sacramento, CA 95822-3909 | 2016-12-02 |
| 1811439441 | Manuel Gilbert Romero | Specialist/Technologist | 500 David J Stern Walk, Sacramento, CA 95814-3346 | 2016-11-14 |
| 1225429251 | Michael Thomas Green | Specialist/Technologist | 1651 51st St, Sacramento, CA 95819-4503 | 2015-02-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95826 |
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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.