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JEREMY CLIFFORD
NPI 1053015180
Student in an Organized Health Care Education/Training Program in Redding, CA

Active since March 30, 2023
4625 MOUNTAIN LAKES BLVD, REDDING, CA 96003(530) 246-7172 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2025, Mar 30, 2023 (2 updates tracked since 2023).

About Jeremy Clifford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY CLIFFORD (NPI 1053015180) is an individual student in an organized health care education/training program in Redding, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1053015180
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMY CLIFFORD
Location Address4625 MOUNTAIN LAKES BLVDRedding, CA 96003-1450
Mailing Address4625 Mountain Lakes BlvdRedding, CA 96003-1450 · (530) 246-7172
Phone(530) 246-7172
Sole ProprietorNo
Enumeration DateMarch 30, 2023
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1053015180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
Also ListedBehavior AnalystTaxonomy 103K00000X
4625 MOUNTAIN LAKES BLVD, Redding, CA 96003
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAYNA MARGENE MATTSON
Marriage & Family Therapist
4625 MOUNTAIN LAKES BLVD
REDDING, CA 96003
Shasta County (530) 246-7172
HARRISON CHRISTOPHER WESTBROOK LMFT
Marriage & Family Therapist
4625 MOUNTAIN LAKES BLVD
REDDING, CA 96003
Shasta County (530) 246-7172
LORAH MAE DROLLINGER
Day Training/Habilitation Specialist
4625 MOUNTAIN LAKES BLVD
REDDING, CA 96003
Shasta County (530) 246-7172
KRYSTLE MARGRET WILLEY
Day Training/Habilitation Specialist
4625 MOUNTAIN LAKES BLVD
REDDING, CA 96003
Shasta County (530) 246-7172
CHRISTI PAULINA DODSON
Student in an Organized Health Care Education/Training Program
4625 MOUNTAIN LAKES BLVD
REDDING, CA 96003
Shasta County (530) 246-7172
KODY HERRERA
Case Manager/Care Coordinator
4625 MOUNTAIN LAKES BLVD
REDDING, CA 96003
Shasta County (530) 241-7172
CAMERON BRANNON PASCUA
Day Training/Habilitation Specialist
4625 MOUNTAIN LAKES BLVD
REDDING, CA 96003
Shasta County (530) 246-7172
KALINA ANNE MCCARTY
Case Manager/Care Coordinator
4625 MOUNTAIN LAKES BLVD
REDDING, CA 96003
Shasta County (530) 246-7172

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Clifford's NPI number?

The NPI number for Jeremy Clifford is 1053015180. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Jeremy Clifford located?

Jeremy Clifford practices at 4625 Mountain Lakes Blvd, Redding, CA 96003. The listed phone number is (530) 246-7172.

What is Jeremy Clifford's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeremy Clifford was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.