JARAD REDDEKOPP (NPI# 1861957862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
1300 ETHAN WAY STE 600 |
City | SACRAMENTO |
State | CA |
Zip Code | 95825-2296 |
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 |
Find all providers in zip 95825 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
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 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95825 |
Please comment or provide details below to improve the information on JARAD REDDEKOPP.
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.