DEDRA JANENE RUSSELL (NPI# 1467693432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467693432 |
| Entity Type | Individual |
| Full Name | DEDRA JANENE RUSSELL |
| Credential | RAS |
| Practice Address |
1001 Grand Ave Sacramento CA 95838-3512 |
| Mailing Address |
Po Box 38369 Sacramento CA 95838-0369 |
| Practice Telephone | 9169291951 |
| Practice Fax Number | 9169295116 |
| Mailing Telephone | 9169291951 |
| Mailing Fax Number | 9169295116 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 340018AN | CA | Residential Treatment Facilities |
| Street Address |
1001 GRAND AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95838-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588824650 | Breata Lea Simpson | Social Worker | 1001 Grand Ave, Sacramento, CA 95838-3512 | 2008-06-12 |
| 1548877509 | Charlotte Rose Bresci | Counselor | 1001 Grand Ave, Sacramento, CA 95838-3512 | 2020-09-24 |
| 1689289720 | Arica Lockhart | Counselor | 1001 Grand Ave, Sacramento, CA 95838-3512 | 2020-09-15 |
| 1922613058 | Michele Anne Gobern | Counselor | 1001 Grand Ave, Sacramento, CA 95838-3512 | 2020-09-15 |
| 1043833130 | Carri Vickers | Counselor | 1001 Grand Ave, Sacramento, CA 95838-3512 | 2020-05-22 |
| 1699396242 | Tamara Lynn Watson | Counselor | 1001 Grand Ave, Sacramento, CA 95838-3512 | 2020-05-05 |
| 1710538756 | Brittney Nicole Barnes | Counselor | 1001 Grand Ave, Sacramento, CA 95838-3512 | 2019-09-20 |
| 1518520097 | Melanie Sweatt | Counselor | 1001 Grand Ave, Sacramento, CA 95838-3512 | 2019-04-19 |
| 1215402284 | Julie Alysia Clark | Counselor | 1001 Grand Ave, Sacramento, CA 95838-3512 | 2018-10-05 |
| 1417463506 | Shawnell Alford | Counselor | 1001 Grand Ave, Sacramento, CA 95838-3512 | 2017-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467898106 | Reset Youth Treatment Enterprises | Clinic/Center | 3725 Marysville Boulevard, Suite 337, Sacramento, CA 95838 | 2013-05-21 |
| 1508193996 | Associated Medical Transport | Non-emergency Medical Transport (VAN) | 181 Grace Avenue, Sacramento, CA 95838 | 2009-11-05 |
| 1619131828 | Charlene Sashington | Counselor | 310 Harris Avenue, Ste A, Sacramento, CA 95838 | 2008-07-16 |
| 1164694451 | Jerry Lee Hull | Counselor | 310 Harris Avenue Suite A, Sacramento, CA 95838 | 2008-03-27 |
| 1831361294 | Diane Yvonne Dickinson | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2008-03-26 |
| 1629131073 | Ernesto S Orendain | Chiropractor | 3901 Norwood Ave, Suite A, Sacramento, CA 95838 | 2006-12-18 |
| 1518033901 | Cynthia Max-wright | Marriage & Family Therapist | 395 Performance Dr, Ste G, Sacramento, CA 95838 | 2006-11-28 |
| 1134185333 | Lu Saelee | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2006-04-25 |
| 1669438008 | Ming-huei Wu | Registered Nurse | 3950 Research Drive, Sacramento, CA 95838 | 2006-04-25 |
| 1366439358 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 3951 Performance Dr, Ste H, Sacramento, CA 95838 | 2005-10-04 |
| Find all providers in zip 95838 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822667 | Cs II,llc | Substance Abuse Rehabilitation Facility | 8950 Cal Center Dr Ste 165b, Sacramento, CA 95826-3259 | 2019-10-11 |
| 1811464019 | The Camp Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 2641 Cottage Way Ste 8, Sacramento, CA 95825-1276 | 2018-10-26 |
| 1629565858 | Psychnp Consultants Inc. | Substance Abuse Rehabilitation Facility | 6808 Fleming Ave, Sacramento, CA 95828-4103 | 2018-04-13 |
| 1508389958 | Another Choice Anothe Chance | Substance Abuse Rehabilitation Facility | 6715 Goria Drive Rooms 1 & A, Sacramento, CA 95831 | 2017-07-18 |
| 1790164143 | Cedar Point Recovery, LLC | Substance Abuse Rehabilitation Facility | 8950 Cal Center Dr Ste 160165, Sacramento, CA 95826-3259 | 2015-05-19 |
| 1578976080 | Medmark Treatment Services | Substance Abuse Rehabilitation Facility | 7240 E. Southgate Drive, Sacramento, CA 95823 | 2014-06-03 |
| 1730319609 | Healthy Interventions | Substance Abuse Rehabilitation Facility | 2634 Watertree Way, Sacramento, CA 95826 | 2009-07-24 |
| 1740429174 | Sacramento Area Emergency Housing Center | Substance Abuse Rehabilitation Facility | 2925 34th St, Sacramento, CA 95817-3113 | 2009-02-09 |
| 1376782706 | Sacramento Area Emergency Housing Center | Substance Abuse Rehabilitation Facility | 4516 Parker Ave, Sacramento, CA 95820-4029 | 2009-02-09 |
| 1760629414 | Lamercie Youth and Adult Services, Inc. | Substance Abuse Rehabilitation Facility | 2251 Florin Rd Ste 108, Sacramento, CA 95822-4478 | 2009-01-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95838 |
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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.