RACHEL BRODHEAD (NPI# 1730703281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730703281 |
| Entity Type | Individual |
| Full Name | RACHEL BRODHEAD |
| Practice Address |
437 N Regatta Dr Vallejo CA 94591-7702 |
| Mailing Address |
7385 Forest Trl Lake Tomahawk WI 54539-9508 |
| Practice Telephone | 7158921286 |
| Mailing Telephone | 7158921286 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
437 N REGATTA DR |
| City | VALLEJO |
| State | CA |
| Zip Code | 94591-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356901 | Andrew Garcia | Behavior Technician | 150 Glen Gove Marina Rd., #102, Vallejo, CA 94591 | 2020-11-03 |
| 1396353504 | Marlesia Marvae Gonzales | Behavior Technician | 150 Glen Cove Marina Rd., #102, Vallejo, CA 94591 | 2020-07-14 |
| 1033741061 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 910 Admiral Callaghan Lane, Vallejo, CA 94591 | 2020-02-07 |
| 1639633860 | Angelo Duaso | Respiratory Therapist, Certified | 712 North Regatta Drive, Vallejo, CA 94591 | 2019-01-22 |
| 1467923615 | Maria Perez | Behavioral Analyst | 150 Glen Code Marina Rd #102, Vallejo, CA 94591 | 2018-12-16 |
| 1285119966 | Josie Gerber | Registered Nurse | 9268 Hallmark Place, Vallejo, CA 94591 | 2018-09-28 |
| 1912491911 | Lamigo LLC | Optometrist | 121 Plaza Dr Ste 505, Vallejo, CA 94591 | 2018-06-22 |
| 1942655055 | Brisbain Rigor Pucan | Dentist | 2143 Springs Rd, #51, Vallejo, CA 94591 | 2016-04-26 |
| 1811323066 | Bianca Tayne Payne | Counselor | 408 Tennesse St, Vallejo, CA 94591 | 2013-09-19 |
| 1285973602 | Kushwantjit Singh Randhawa | Dentist | 300 Hillary Way Apt 91, Vallejo, CA 94591 | 2013-02-05 |
| Find all providers in zip 94591 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952924631 | Shanice Renee Watts | Student in an Organized Health Care Education/Training Program | 144 Columbia Way, Vallejo, CA 94589-1421 | 2020-05-28 |
| 1215556766 | Huong Tran | Student in an Organized Health Care Education/Training Program | 816 Jack London Dr, Vallejo, CA 94589-1407 | 2020-04-15 |
| 1144859158 | Yasaman Ashley Lajevardi | Student in an Organized Health Care Education/Training Program | 721 Oscar St, Vallejo, CA 94592-1180 | 2020-04-02 |
| 1124654082 | Sean Wang | Student in an Organized Health Care Education/Training Program | 911 Madrone Ave, Vallejo, CA 94592-1165 | 2020-03-22 |
| 1447895735 | Marcus Justin Chen | Student in an Organized Health Care Education/Training Program | 610 Poplar Ave, Vallejo, CA 94592-1147 | 2019-11-11 |
| 1134762792 | Alexander John Mckean | Student in an Organized Health Care Education/Training Program | 827 Kentucky St, Vallejo, CA 94590-5215 | 2019-10-25 |
| 1225671811 | Amy Ngoc Anh Tran | Student in an Organized Health Care Education/Training Program | Touro University California, 1310 Club Drive, Vallejo, CA 94592 | 2019-10-25 |
| 1447817127 | Jack Wayland Davis II | Student in an Organized Health Care Education/Training Program | 1109 Flagship Dr, Vallejo, CA 94592-1114 | 2019-05-29 |
| 1700449030 | Desire Ingabire | Student in an Organized Health Care Education/Training Program | 436 Waterview Ter, Vallejo, CA 94591-7159 | 2019-04-22 |
| 1821558495 | Christian Joaquin | Student in an Organized Health Care Education/Training Program | 101 Pinto Dr, Vallejo, CA 94591-8451 | 2019-03-21 |
| Find all providers in VALLEJO | ||||
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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.