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MR. INDIANA JASON WOMACK B.A., CMPSS
NPI 1316678659
Rehabilitation Practitioner in Sacramento, CA

Active since June 17, 2022
900 FULTON AVE STE 205, SACRAMENTO, CA 95825(916) 484-3570 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, May 7, 2025 (2 updates tracked since 2025).

About Mr. Indiana Jason Womack B.a., Cmpss NPPES

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

MR. INDIANA JASON WOMACK B.A., CMPSS (NPI 1316678659) is an individual rehabilitation practitioner in Sacramento, California and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1316678659
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameMR. INDIANA JASON WOMACKCredential: B.A., CMPSS
Location Address900 FULTON AVE STE 205Sacramento, CA 95825-4517
Mailing Address7484 Holworthy Way Apt 84Sacramento, CA 95842-4131 · (731) 441-9554
Phone(916) 484-3570
Sole ProprietorNo
Enumeration DateJune 17, 2022
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1316678659 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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPeer SpecialistTaxonomy 175T00000X · License MPSS-CYUFDS (CA)
900 FULTON AVE STE 205, Sacramento, CA 95825
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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.

CASIE ROMINE LVN
Licensed Vocational Nurse
900 FULTON AVE STE 205
SACRAMENTO, CA 95825
Sacramento County (916) 484-3570
MS. MELISSA ARISIAGA
Case Manager/Care Coordinator
900 FULTON AVE STE 205
SACRAMENTO, CA 95825
Sacramento County (916) 484-3570
MS. SIMRAN K BALHOTRA
Rehabilitation Practitioner
900 FULTON AVE STE 205
SACRAMENTO, CA 95825
Sacramento County (916) 484-3570
ALEX KOI CHONG AMFT, APCC
Marriage & Family Therapist
900 FULTON AVE STE 205
SACRAMENTO, CA 95825
Sacramento County (916) 484-3570
MR. MARC AARON SCHARBROUGH LPT
Licensed Psychiatric Technician
900 FULTON AVE STE 205
SACRAMENTO, CA 95825
Sacramento County (916) 484-3570
BILLY RAY HARRISON II
Case Manager/Care Coordinator
900 FULTON AVE STE 205
SACRAMENTO, CA 95825
Sacramento County (916) 484-3570
RAYMOND HILL
Rehabilitation Practitioner
900 FULTON AVE STE 205
SACRAMENTO, CA 95825
Sacramento County (707) 671-2816
LILYANA RAQUEL PANTOJA
Community Health Worker
900 FULTON AVE STE 205
SACRAMENTO, CA 95825
Sacramento County (916) 484-3570

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 Indiana Womack's NPI number?

The NPI number for Indiana Womack is 1316678659. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Indiana Womack located?

Indiana Womack practices at 900 Fulton Ave Ste 205, Sacramento, CA 95825. The listed phone number is (916) 484-3570.

What is Indiana Womack'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 Indiana Womack was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.