Individual provider Active NPI

Rebecca Lee Cardwell, MA, MFT-I

  • Case Manager/Care Coordinator
  • Roseville, CA
National Provider Identifier
1669670949
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
53523 Issued in CA
Practice address
420 Folsom Rd Ste C
Roseville, CA 95678-2767
Phone
(916) 783-4950
Fax
(916) 783-4950
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 53523 CA Primary

Addresses

Primary practice location

420 Folsom Rd Ste C
Roseville, CA 95678-2767

Mailing address

420 Folsom Rd Ste C
Roseville, CA 95678-2767
Phone (916) 783-4950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1669670949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 FOLSOM RD STE C",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782767",
            "telephone_number": "916-783-4950",
            "fax_number": "916-783-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FOLSOM RD STE C",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782767",
            "telephone_number": "916-783-4950",
            "fax_number": "916-783-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDWELL",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "credential": "MA, MFT-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "53523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.