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KELLY TRAVERSO
NPI 1295199206
Peer Specialist in Sutter Creek, CA

Active since April 06, 2016
10877 CONDUCTOR BLVD, SUTTER CREEK, CA 95685(209) 223-6412 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Traverso NPPES

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

KELLY TRAVERSO (NPI 1295199206) is an individual peer specialist in Sutter Creek, California and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1295199206
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELLY TRAVERSO
Location Address10877 CONDUCTOR BLVDSutter Creek, CA 95685-9687
Mailing Address10877 Conductor BlvdSutter Creek, CA 95685-9687
Phone(209) 223-6412
Sole ProprietorNo
Enumeration DateApril 6, 2016
✔ NPI 1295199206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
10877 CONDUCTOR BLVD, Sutter Creek, CA 95685
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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.

STEPHANIE ALCANTAR CMA
Case Manager/Care Coordinator
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
SYLVIA DESIREE-SOSA NEWLUN MFT
Marriage & Family Therapist
10877 CONDUCTOR BLVD, SUITE 300
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
RENEE MICHELLE PAUL
Registered Nurse
10877 CONDUCTOR BLVD, STE 300
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
CHRIS FAMULARO
Peer Specialist
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
BELLA EYNGORINA
Marriage & Family Therapist
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
TERESA KARNOW
Registered Nurse
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
LINDA CRABTREE
Case Manager/Care Coordinator
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
MR. RANDALL BLANK
Peer Specialist
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6312

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 Kelly Traverso's NPI number?

The NPI number for Kelly Traverso is 1295199206. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Kelly Traverso located?

Kelly Traverso practices at 10877 Conductor Blvd, Sutter Creek, CA 95685. The listed phone number is (209) 223-6412.

What is Kelly Traverso's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kelly Traverso was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.