TIAZJANAE WILRIDGE
NPI 1093286940
Rehabilitation Practitioner in Citrus Heights, CA

Q: What is Tiazjanae Wilridge's NPI number?

The NPI number for Tiazjanae Wilridge is 1093286940. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Q: What is Tiazjanae Wilridge's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Active since December 17, 2018

7697 MADISON AVE, CITRUS HEIGHTS, CA 95610(916) 730-9740 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2025, Jun 3, 2024, Dec 17, 2018 (3 updates tracked since 2018).

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About Tiazjanae Wilridge NPPES

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

TIAZJANAE WILRIDGE (NPI 1093286940) is an individual rehabilitation practitioner in Citrus Heights, California and active in the NPI registry since December 2018. She maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1093286940

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameTIAZJANAE WILRIDGE

Location Address7697 MADISON AVECitrus Heights, CA 95610-7516

Mailing Address3815 Marconi AveSacramento, CA 95821-3867 · (916) 890-3000

Phone(916) 730-9740

Sole ProprietorNo

Enumeration DateDecember 17, 2018

Last NPPES UpdateJune 2, 20253 updates tracked since enumeration

NPPES CertifiedJune 2, 2025

✔ NPI 1093286940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

7697 MADISON AVE, Citrus Heights, CA 95610

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Secondary Practice Location 1

Location 13815 Marconi AveSacramento, CA 95821-3867 · Phone (916) 890-3000

Other Providers at the Same Location NPPES 20

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

PARADISE OAKS YOUTH SERVICES

Residential Treatment Facility, Emotionally Disturbed Children