CODY DEBRABANT (NPI# 1164880449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164880449 |
| Entity Type | Individual |
| Full Name | CODY DEBRABANT |
| Credential | PA-C |
| Practice Address |
2175 Rosaline Ave Redding CA 96001 |
| Mailing Address |
109 Camaritas Ct Danville CA 94526-5437 |
| Practice Telephone | 5302256000 |
| Mailing Telephone | 9547015095 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 53198 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2175 ROSALINE AVE |
| City | REDDING |
| State | CA |
| Zip Code | 96001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102498 | Mercy Surgery Center, Lp | Clinic/Center | 2175 Rosaline Ave, Ste A, Redding, CA 96001-2509 | 2005-05-27 |
| 1427658558 | Daniel Thomas Henderson | Speech-Language Pathologist | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-10-28 |
| 1164032603 | Teresa Fe Fox | Registered Nurse | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-08-07 |
| 1336757889 | Kathryn Feris | Registered Nurse | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-07-21 |
| 1417584111 | Savannah Abel-smith | Physician Assistant | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-03-24 |
| 1053945253 | Joseph Harrison Tippetts | Physician Assistant | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-02-26 |
| 1285277400 | Annalee Toombs | Physician Assistant | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2019-10-21 |
| 1013561851 | Cep America - Anesthesia PC | Anesthesiology | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2019-07-30 |
| 1104484492 | Paragon Imaging and Intervention Inc | Radiology | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2019-05-31 |
| 1831650993 | Cristina Maria Mackey | Student in an Organized Health Care Education/Training Program | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123915 | Kendra Owen | Physician Assistant | 1555 East St Ste 100, Redding, CA 96001-1153 | 2020-08-05 |
| 1316578818 | Kaylin Rae Sanders | Physician Assistant | 375 Smile Pl Ste B, Redding, CA 96001-3653 | 2020-02-03 |
| 1922550292 | Nicole Combs | Physician Assistant | 2216 Buenaventura Blvd Ste B, Redding, CA 96001-3838 | 2016-11-02 |
| 1326482068 | Terry Lee Pelayo | Physician Assistant | 2022 Jewell Ln, Redding, CA 96001-4823 | 2013-04-24 |
| 1578842100 | Lacey Monique Townsend | Physician Assistant | 2891 Churn Creek Rd Ste A, Redding, CA 96002-1148 | 2011-08-13 |
| 1699061986 | Larisa Gumerova | Physician Assistant | 1742 Oregon St, Redding, CA 96001 | 2011-06-24 |
| 1396994430 | Robyn Lynn Carpenter | Physician Assistant | 2750 Eureka Way Ste 101, Redding, CA 96001-0251 | 2008-09-12 |
| 1528144912 | Kathleen B. Chesney | Physician Assistant | 1388 Court Street, Suite H, Redding, CA 96001-1650 | 2006-10-27 |
| 1073122412 | Christopher Wills | Physician Assistant | 100 E Cypress Ave, Redding, CA 96002-0162 | 2020-07-30 |
| 1689298598 | Kellie Sperduto | Physician Assistant | 1742 Oregon St, Redding, CA 96001-1717 | 2020-06-05 |
| Find all providers in REDDING | ||||
Please comment or provide details below to improve the information on CODY DEBRABANT.
| 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.