TENNILLE RENEE ROBERTS (NPI# 1699808378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699808378 |
| Entity Type | Individual |
| Full Name | TENNILLE RENEE ROBERTS |
| Other Name | TENNILLE RENEE DE LA TORRE |
| Credential | CAS |
| Practice Address |
15450 County Road 99 Woodland CA 95695-9339 |
| Mailing Address |
7000 Leisure Town Rd Vacaville CA 95688-9413 |
| Practice Telephone | 5306689627 |
| Practice Fax Number | 5306688528 |
| Mailing Telephone | 7072491062 |
| Mailing Fax Number | 7074530384 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 03-061421 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CAS | 03-061421 | 01 |
| Street Address |
15450 COUNTY ROAD 99 |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695-9339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174020408 | Natasha Elsazandria Poland | Counselor | 15450 County Road 99, Woodland, CA 95695-9339 | 2018-04-12 |
| 1790282028 | Yolanda Mayze | Counselor | 15450 County Road 99, Woodland, CA 95695-9339 | 2018-04-12 |
| 1790287696 | Veronica Colleen Hanoum | Counselor | 15450 County Road 99, Woodland, CA 95695-9339 | 2018-03-06 |
| 1245786219 | Megan Christine Patterson | Counselor | 15450 County Road 99, 15450, Woodland, CA 95695-9339 | 2016-08-30 |
| 1023487204 | Veronica Servin | Counselor | 15450 County Road 99, Woodland, CA 95695-9339 | 2015-09-17 |
| 1508241647 | Monique Amber Leatherbury | Substance Abuse Rehabilitation Facility | 15450 County Road 99, Woodland, CA 95695-9339 | 2015-07-29 |
| 1639571177 | Shay-anne Rosseli | Substance Abuse Rehabilitation Facility | 15450 County Road 99, Woodland, CA 95695-9339 | 2014-09-16 |
| 1417361916 | Gabriela Garcia | Specialist | 15450 County Road 99, Woodland, CA 95695-9339 | 2014-06-12 |
| 1114273190 | Sara Martinez | Counselor | 15450 County Road 99, Woodland, CA 95695-9339 | 2012-07-27 |
| 1972627990 | Pamela June Moore | Specialist | 15450 County Road 99, Woodland, CA 95695-9339 | 2007-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
| 1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
| 1912479437 | Phillips Scoliosis Center | Chiropractor | 375 W Main St., Ste C-1, Woodland, CA 95695 | 2018-12-21 |
| 1568947042 | Nikhil Sibal | Dentist | Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 | 2018-10-01 |
| 1659860849 | Savannah Ellizabeth Lindley | Behavior Technician | 260 West Main St, Woodland, CA 95695 | 2018-05-03 |
| 1982133344 | Brittanie Ann Akey | Behavior Technician | 1102 Gary Way, Woodland, CA 95695 | 2017-06-08 |
| 1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
| 1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
| 1730634486 | Ida Nilanthi Lonnerdal | Marriage & Family Therapist | 455 First Street, Woodland, CA 95695 | 2016-08-23 |
| 1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
| Find all providers in zip 95695 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801345475 | Jennifer Ray Rosenbaum | Specialist | 321 Forest Park Rd, Woodland, WA 98674-7204 | 2016-09-23 |
| 1275921090 | Mia Nicole Treasure | Specialist | 2418 Nw Hayes Rd, Woodland, WA 98674-2218 | 2014-12-31 |
| 1841550845 | Lori Gonder | Specialist | 566 Goerig St, Woodland, WA 98674-9442 | 2012-05-23 |
| 1235350836 | Matthew Jon Gargulinski | Specialist | 632 West Gibson Rd, Woodland, CA 95695 | 2007-05-01 |
| 1609095322 | Woodland Hearing Aid Services Inc | Specialist | 1837 E Gibson Rd Suite K, Woodland, CA 95776 | 2007-04-24 |
| 1568680684 | Teresa Kasiarz | Specialist | 1264 E Gibson Rd Ste F600, Woodland, CA 95776-6319 | 2007-04-23 |
| 1417361916 | Gabriela Garcia | Specialist | 15450 County Road 99, Woodland, CA 95695-9339 | 2014-06-12 |
| 1609062397 | Aaron Miguel | Specialist | 124 Walnut St, Woodland, CA 95695-3137 | 2007-09-17 |
| 1366654238 | Woodland Nephrology Med Grp | Specialist | 520 Cottonwood St, Suite 2, Woodland, CA 95695-3603 | 2007-05-04 |
| 1861514838 | Rebecca Leos | Specialist | 14 N Cottonwood St, Woodland, CA 95695-2585 | 2007-04-03 |
| Find all providers in WOODLAND | ||||
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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.