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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE NATIVIDAD
NPI 1609585116
Rehabilitation Practitioner in Santa Rosa, CA

Active since November 23, 2022
2235 MERCURY WAY STE 107, SANTA ROSA, CA 95407(707) 494-0762 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2026, Nov 23, 2022 (2 updates tracked since 2022).

About Nicole Natividad NPPES

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

NICOLE NATIVIDAD (NPI 1609585116) is an individual rehabilitation practitioner in Santa Rosa, California and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1609585116
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameNICOLE NATIVIDAD
Location Address2235 MERCURY WAY STE 107Santa Rosa, CA 95407-5472
Mailing Address2235 Mercury Way Ste 107Santa Rosa, CA 95407-5472 · (707) 494-0762
Phone(707) 494-0762
Sole ProprietorNo
Enumeration DateNovember 23, 2022
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1609585116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPeer SpecialistTaxonomy 175T00000X · License MPSS-FUSKZE (CA)
2235 MERCURY WAY STE 107, Santa Rosa, CA 95407
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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.

ANGEL STEVEN ESCOBAR
Day Training/Habilitation Specialist
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
MR. VERNON D POPE-BANKS
Rehabilitation Practitioner
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
MRS. BRANDI CASWELL
Specialist
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
TARA LANATTI
Student in an Organized Health Care Education/Training Program
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
KENDRA N NEESE
Rehabilitation Practitioner
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 231-0741
KATIE SWAN
Rehabilitation Practitioner
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 583-5284
MISS ANNALISE MADSEN
Rehabilitation Practitioner
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
JASON SELVAGE M.A.
Rehabilitation Practitioner
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 695-2805

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 Nicole Natividad's NPI number?

The NPI number for Nicole Natividad is 1609585116. It was assigned to this individual provider in the NPPES registry on November 23, 2022.

Where is Nicole Natividad located?

Nicole Natividad practices at 2235 Mercury Way Ste 107, Santa Rosa, CA 95407. The listed phone number is (707) 494-0762.

What is Nicole Natividad'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 Nicole Natividad was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.