1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Case Manager Care Coordinator
  6. NPI Profile

TRAYVON I WILLIS KENNEDY
NPI 1427741941
Case Manager/Care Coordinator in Sacramento, CA

Active since May 31, 2023
630 BERCUT DR STE C, SACRAMENTO, CA 95811(916) 441-3819(916) 441-6377 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trayvon I Willis Kennedy NPPES

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

TRAYVON I WILLIS KENNEDY (NPI 1427741941) is an individual case manager/care coordinator provider in Sacramento, California and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1427741941
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameTRAYVON I WILLIS KENNEDY
Location Address630 BERCUT DR STE CSacramento, CA 95811-0110
Mailing Address3780 Rosin Ct Ste 110Sacramento, CA 95834-1698 · (916) 441-0226 · Fax (916) 441-6377
Phone(916) 441-3819
Fax(916) 441-6377
Sole ProprietorYes
Enumeration DateMay 31, 2023
NPPES CertifiedMay 31, 2023
✔ NPI 1427741941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
630 BERCUT DR STE C, Sacramento, CA 95811
Open in Google Maps ↗

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.

TKEYAH BRAGGS
Case Manager/Care Coordinator
630 BERCUT DR STE C
SACRAMENTO, CA 95811
Sacramento County (916) 886-6016
YESENIA LINARES
Case Manager/Care Coordinator
630 BERCUT DR STE C
SACRAMENTO, CA 95811
Sacramento County (916) 441-3819
ADAM SELVO
Counselor
630 BERCUT DR STE C
SACRAMENTO, CA 95811
Sacramento County (916) 441-3819
RENEE ROSA GARCIA-LEPE
Case Manager/Care Coordinator
630 BERCUT DR STE C
SACRAMENTO, CA 95811
Sacramento County (916) 441-3819
ALEC HAGEMAN
Licensed Vocational Nurse
630 BERCUT DR STE C
SACRAMENTO, CA 95811
Sacramento County (916) 441-3819
MRS. MAYRA CORRAL B.A.
Social Worker
630 BERCUT DR STE C
SACRAMENTO, CA 95811
Sacramento County (916) 441-3819
KENNETH RHASHAN PRUITT
Adult Companion
630 BERCUT DR STE C
SACRAMENTO, CA 95811
Sacramento County (916) 363-1553
ADRIENNE SCHARNHORST
Counselor (Mental Health)
630 BERCUT DR STE C
SACRAMENTO, CA 95811
Sacramento County (916) 441-3819

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 Trayvon Willis Kennedy's NPI number?

The NPI number for Trayvon Willis Kennedy is 1427741941. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Where is Trayvon Willis Kennedy located?

Trayvon Willis Kennedy practices at 630 Bercut Dr Ste C, Sacramento, CA 95811. The listed phone number is (916) 441-3819.

What is Trayvon Willis Kennedy's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Trayvon Willis Kennedy was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.