Kelly Rebecca Bissell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3810 Rosin CT Ste 180
Sacramento, CA 95834-1656

Phone

(916) 283-8280

Fax

(916) 283-8259

NPI assigned

May 9, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Turning Point Community Programs - PSH

  • Adult Mental Health Clinic/Center
  • Sacramento, CA
  • NPI 1114054475
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1053800540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 ROSIN CT STE 180",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341656",
            "telephone_number": "169-283-8280",
            "fax_number": "916-283-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 ROSIN CT STE 180",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341656",
            "telephone_number": "916-283-8280",
            "fax_number": "916-283-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSELL",
        "first_name": "KELLY",
        "middle_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Bishop, MD
• Tanya Dee Bishop
• Valerie Bishop
• Leah Bisogno, R.N.
• John Albert Bissell, MD
• David Philip Bissig, M.D., PH.D.
• Benjamin Bissinger
• Arielle Bitetti
• Xue Rachel Bito, MD
• Jordan Leigh Bittner

• Case Manager/Care Coordinator in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.