MS. MARY JULIA RUTTER (NPI# 1124545926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124545926 |
| Entity Type | Individual |
| Full Name | MS. MARY JULIA RUTTER |
| Practice Address |
3440 Viking Dr Ste 114 Sacramento CA 95827-2844 |
| Mailing Address |
10383 Larkin Rd Spc 46 Live Oak CA 95953-2128 |
| Practice Telephone | 9169104971 |
| Mailing Telephone | 5307886591 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
3440 VIKING DR STE 114 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-2844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831291491 | Alfred Ray Rowlett | Social Worker | 3440 Viking Dr Ste 114, Sacramento, CA 95827-2844 | 2006-09-03 |
| 1952891145 | Damaris Wambui Waiyaki | Counselor | 3440 Viking Dr Ste 114, Sacramento, CA 95827-2844 | 2018-05-14 |
| 1750808903 | Christina Boakye-donkor | Student in an Organized Health Care Education/Training Program | 3440 Viking Dr Ste 114, Sacramento, CA 95827-2844 | 2017-08-29 |
| 1962956730 | Joanne Derrick | Student in an Organized Health Care Education/Training Program | 3440 Viking Dr Ste 114, Sacramento, CA 95827-2844 | 2016-08-10 |
| 1215389325 | Diane Ryland | Social Worker | 3440 Viking Dr Ste 114, Sacramento, CA 95827-2844 | 2016-07-13 |
| 1801248570 | Lekeshia Murphy | Counselor | 3440 Viking Dr Ste 114, Sacramento, CA 95827-2844 | 2016-07-06 |
| 1932572906 | Mary Parker | Social Worker | 3440 Viking Dr Ste 114, Sacramento, CA 95827-2844 | 2015-11-12 |
| 1881067858 | Kelly Hjelm | Counselor | 3440 Viking Dr Ste 114, Sacramento, CA 95827-2844 | 2015-11-12 |
| 1093182347 | Shawn Baker | Social Worker | 3440 Viking Dr Ste 114, Sacramento, CA 95827-2844 | 2015-08-21 |
| 1538548284 | Vanessa Pady | Counselor | 3440 Viking Dr Ste 114, Sacramento, CA 95827-2844 | 2015-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653264 | Angela Renee Sanders | Peer Specialist | 7171 Bowling Dr Ste 200, Sacramento, CA 95823-2034 | 2018-09-19 |
| 1750896288 | Wilfred Carnell Broom | Peer Specialist | 3321 Power Inn Rd Ste 10, Sacramento, CA 95826-3890 | 2017-12-06 |
| 1669925475 | Camelia Straughn | Peer Specialist | 1951 67th Ave, Sacramento, CA 95822-4826 | 2016-07-27 |
| 1114384831 | Kristen Bruno | Peer Specialist | 657 Jessie Ave, Sacramento, CA 95838-2610 | 2016-01-26 |
| 1386205227 | Cynthia Michelle Lozano | Peer Specialist | 650 Howe Ave Ste 400-a, Sacramento, CA 95825-4731 | 2019-06-21 |
| 1225598162 | Ralph Martha | Peer Specialist | 7171 Bowling Dr Ste 300, Sacramento, CA 95823-2043 | 2019-03-25 |
| 1609335033 | Alison Elaine Barnard | Peer Specialist | 2130 Stockton Blvd Bldg 300, Sacramento, CA 95817-1337 | 2019-03-15 |
| 1982187597 | Almaruthe Condell | Peer Specialist | 650 Howe Ave Ste 400-a, Sacramento, CA 95825-4731 | 2018-09-10 |
| 1033604632 | Karen R Cameron | Peer Specialist | 7171 Bowling Dr Ste 300, Sacramento, CA 95823-2043 | 2018-06-26 |
| 1730671843 | Gustavo Ayala | Peer Specialist | 7171 Bowling Dr Ste 300, Sacramento, CA 95823-2043 | 2018-06-04 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
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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.