JARAD REDDEKOPP


Address: 1300 Ethan Way Ste 600, Sacramento, CA 95825-2296
Phone: 9164827623

JARAD REDDEKOPP (NPI# 1861957862) 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) 1861957862
Entity Type Individual
Full Name JARAD REDDEKOPP
Credential ACNP-BC
Practice Address 1300 Ethan Way Ste 600
Sacramento
CA 95825-2296
Practice Telephone 9164827623
Practice Fax Number 9164887432
Mailing Telephone 9164827623
Mailing Fax Number 9164887432
Enumeration Date 2019-02-04
Last Update Date 2019-02-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
0994404 CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1300 ETHAN WAY STE 600
City SACRAMENTO
State CA
Zip Code 95825-2296

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528667854 Sarah Claudio Case Manager/Care Coordinator 650 Howe Ave # 400-b, Sacramento, CA 95825 2020-10-19
1962009308 Andrea Isabel Morales Behavior Technician 333 University Avenue, Suite 200, Sacramento, CA 95825 2020-10-08
1942810510 Melissa Marlene Lowndes Occupational Therapist 1337 Howe Ave Unit 107, Sacramento, CA 95825 2020-08-07
1780294827 Travis Elliott Peppers Case Manager/Care Coordinator 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 2020-08-04
1154950327 Hallie Wenz Behavior Technician 333 University Ave Suite #200, Sacramento, CA 95825 2020-04-08
1679105456 Dr. Page Hudson Dental Corporation Dentist 1580 Howe Avenue, Suite A, Sacramento, CA 95825 2020-02-10
1710517891 Amelia Garnica Community/Behavioral Health 720 Howe Avenue, Suite 102, Sacamento, CA 95825 2020-01-17
1427697374 Anthony Barnes Social Worker 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 2019-12-24
1528604519 Mental Health America of Northern California Community/Behavioral Health 720 Howe Ave., Suite 102, Cacramento, CA 95825 2019-11-25
1164068144 Mental Health America of Northern California Community/Behavioral Health 720 Howe Ave. Suite, 102, Sacramento, CA 95825 2019-11-25
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871104877 Aimee Yrigan Aquitania Nurse Practitioner 701 Howe Ave Ste 50, Sacramento, CA 95825-4670 2020-08-12
1972026391 Kevin Yi Chen Nurse Practitioner 2751 W River Dr Apt 921, Sacramento, CA 95833-3785 2017-07-18
1790235323 Kendall Thelen Nurse Practitioner 1750 Howe Ave, Suite 500, Sacramento, CA 95825-3367 2016-10-06
1962950550 Jennifer Mcgrath Nurse Practitioner 2315 Stockton Blvd Ste 4212, Sacramento, CA 95817-2201 2016-09-13
1659679595 Nai Sio Saechao Nurse Practitioner 9948 Firstone Dr, Sacramento, CA 95829-8149 2011-03-01
1356464333 Jenifer Lyn Rofkahr Nurse Practitioner 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 2007-04-06
1700926185 Lorin J Bacon Nurse Practitioner 2345 Fair Oaks Blvd # 2853, Sacramento, CA 95825-4708 2007-02-07
1952457467 Mary Wyckoff Nurse Practitioner 2315 Stockton Ave, Sacramento, CA 95817 2007-01-26
1093799660 Jeff Scott Kasten Nurse Practitioner 2316 Stockton Blvd, Sacramento, CA 95817-2202 2005-12-06
1477154722 Myleen Dumagan Romarate Nurse Practitioner 2315 Stockton Blvd, Sacramento, CA 95817-2201 2020-11-03
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Competitor

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City SACRAMENTO
Zip Code 95825

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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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