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JACY LYNN RESENDEZ
NPI 1275014771
Rehabilitation Practitioner in Santa Rosa, CA

Active since August 23, 2018
2235 CHALLENGER WAY, SANTA ROSA, CA 95407(707) 565-4792 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacy Lynn Resendez NPPES

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

JACY LYNN RESENDEZ (NPI 1275014771) is an individual rehabilitation practitioner in Santa Rosa, California and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1275014771
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameJACY LYNN RESENDEZ
Location Address2235 CHALLENGER WAYSanta Rosa, CA 95407-5458
Mailing Address1556 Heather DrSanta Rosa, CA 95401-6003 · (757) 749-7898
Phone(707) 565-4792
Sole ProprietorNo
Enumeration DateAugust 23, 2018
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1275014771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2235 CHALLENGER WAY, Santa Rosa, CA 95407
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Other Providers at the Same Location NPPES 8

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

ISABEL MICHAELA GRAY
Day Training/Habilitation Specialist
2235 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-1117
JACOB BENJAMIN SOLED RN
Nurse Practitioner (Psychiatric/Mental Health)
2235 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4900
MR. PATRICK WAYNE MCCULLY
Marriage & Family Therapist
2235 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-5008
JOSEPH E. HANNAN JR. M.D.
Psychiatry & Neurology (Psychiatry)
2235 CHALLENGER WAY, SUITE 102
SANTA ROSA, CA 95407
Sonoma County (707) 528-7262
MRS. SHILOH MARIE JAYNE
Marriage & Family Therapist
2235 CHALLENGER WAY, 101
SANTA ROSA, CA 95407
Sonoma County (707) 565-3014
EUNJIE KLEGAR M.D.
Psychiatry & Neurology (Psychiatry)
2235 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4900
DR. JOANN HAWK PH.D.
Psychologist
2235 CHALLENGER WAY, SUITE 102
SANTA ROSA, CA 95407
Sonoma County (707) 576-7057
KATHLEEN JENKINS BEARD
Registered Nurse (Psychiatric/Mental Health)
2235 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4900

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 Jacy Resendez's NPI number?

The NPI number for Jacy Resendez is 1275014771. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Where is Jacy Resendez located?

Jacy Resendez practices at 2235 Challenger Way, Santa Rosa, CA 95407. The listed phone number is (707) 565-4792.

What is Jacy Resendez's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacy Resendez was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.