Neesha Ray Hammercord, SUDRC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

SUDRC11097 Issued in CA

Practice address

22425 Sunbright Ave
Red Bluff, CA 96080-9741

Phone

(530) 528-2342

NPI assigned

Sep 27, 2020

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

Other names 1

• Neesha Ray Acord Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1346857075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22425 SUNBRIGHT AVE",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960809741",
            "telephone_number": "530-528-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22425 SUNBRIGHT AVE",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960809741",
            "telephone_number": "530-528-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMERCORD",
        "first_name": "NEESHA",
        "middle_name": "RAY",
        "credential": "SUDRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-27",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "SUDRC11097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEESHA",
            "last_name": "ACORD",
            "middle_name": "RAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• H Jack Fennel O.D.
• Jebediah Morgan Hall, M.A.
• Shannon Marie Haller, PA
• Rachal Hambrock, OQP
• Teri Lynn Hamill, ASW
• Jazmine Hammers
• Razan Hamzeh, DDS
• Mallory M Hancock
• Hanger Prosthetics & Orthotics West, Inc.
• Paul Clay Harrington, D.C.

• Addiction (Substance Use Disorder) Counselor in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; 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.