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REANNON N DORTCH
NPI 1336958925
Student in an Organized Health Care Education/Training Program in Clearlake, CA

Active since January 07, 2025
7000B S CENTER DR, CLEARLAKE, CA 95422(707) 994-7090 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2025, Jan 7, 2025 (2 updates tracked since 2025).

About Reannon N Dortch NPPES

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

REANNON N DORTCH (NPI 1336958925) is an individual student in an organized health care education/training program in Clearlake, California and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1336958925
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameREANNON N DORTCH
Location Address7000B S CENTER DRClearlake, CA 95422-8458
Mailing Address4967 Valley CtKelseyville, CA 95451-8724 · (707) 533-5878
Phone(707) 994-7090
Sole ProprietorNo
Enumeration DateJanuary 7, 2025
Last NPPES UpdateMarch 6, 20252 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1336958925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
7000B S CENTER DR, Clearlake, CA 95422
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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.

WENDY GATTONI
Peer Specialist
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 533-5829
KALI MULLIGAN
Case Manager/Care Coordinator
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
MR. DENNIS BARTON SKINNER MFT
Marriage & Family Therapist
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
TANISHA ROJO MEDICAL ASSISTANT
Case Manager/Care Coordinator
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 274-9101
ANGELA ALFORD-WHITING RN
Registered Nurse
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
RICHARD ALLAN COHN JR.
Counselor (Mental Health)
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
MS. STEPHANIE OSTERMAN ODNEY CAADAC
Counselor (Addiction (Substance Use Disorder))
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-6494
ELIZABETH SALCEDO ABRICA MSW
Student in an Organized Health Care Education/Training Program
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090

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 Reannon Dortch's NPI number?

The NPI number for Reannon Dortch is 1336958925. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Reannon Dortch located?

Reannon Dortch practices at 7000B S Center Dr, Clearlake, CA 95422. The listed phone number is (707) 994-7090.

What is Reannon Dortch'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 Reannon Dortch was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.