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LUPE PEDERSEN
NPI 1891321311
Rehabilitation Practitioner in Woodland, CA

Active since March 16, 2020
137 N COTTONWOOD ST, WOODLAND, CA 95695(530) 204-7015 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 5, 2025, Apr 8, 2025, Sep 30, 2022 and 2 more (5 updates tracked since 2020).

About Lupe Pedersen NPPES

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

LUPE PEDERSEN (NPI 1891321311) is an individual rehabilitation practitioner in Woodland, California and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1891321311
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameLUPE PEDERSEN
Location Address137 N COTTONWOOD STWoodland, CA 95695-6646
Mailing Address137 N Cottonwood StWoodland, CA 95695-6646 · (530) 502-7015
Phone(530) 204-7015
Sole ProprietorYes
Enumeration DateMarch 16, 2020
Last NPPES UpdateDecember 5, 20255 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1891321311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License R1373141219 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
137 N COTTONWOOD ST, Woodland, CA 95695
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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.

DR. KAMAL HAMDY
Psychologist (Clinical)
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (530) 666-2634
ROSALIND WAMBUGU
Registered Nurse
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (916) 254-2293
EMMA CATHERINE LATUNO
Marriage & Family Therapist
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (530) 980-1845
MS. SAMMY A HAWK
Day Training/Habilitation Specialist
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (530) 666-8630
MARIO GALLEGATI
Marriage & Family Therapist
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (530) 757-5530
JONETTA HENDERSON
Peer Specialist
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (530) 312-5127
ADRIANA BERTA FUENTES
Counselor (Mental Health)
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (530) 666-8291
MS. LYNN E. LY LCSW
Social Worker
137 N COTTONWOOD ST, STE 1540
WOODLAND, CA 95695
Yolo County (530) 666-8541

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 Lupe Pedersen's NPI number?

The NPI number for Lupe Pedersen is 1891321311. It was assigned to this individual provider in the NPPES registry on March 16, 2020.

Where is Lupe Pedersen located?

Lupe Pedersen practices at 137 N Cottonwood St, Woodland, CA 95695. The listed phone number is (530) 204-7015.

What is Lupe Pedersen'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 Lupe Pedersen was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.