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: July 19, 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
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

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.

Counselor (Mental Health)
137 N COTTONWOOD ST
WOODLAND, CA 95695
Social Worker
137 N COTTONWOOD ST, STE 1540
WOODLAND, CA 95695
Registered Nurse
137 N COTTONWOOD ST, SUITE 2300
WOODLAND, CA 95695
Registered Nurse
137 N COTTONWOOD ST
WOODLAND, CA 95695
Student in an Organized Health Care Education/Training Program
137 N COTTONWOOD ST, SUITE 1506
WOODLAND, CA 95695
Student in an Organized Health Care Education/Training Program
137 N COTTONWOOD ST
WOODLAND, CA 95695
Registered Nurse (Psychiatric/Mental Health)
137 N COTTONWOOD ST, SUITE 1540
WOODLAND, CA 95695
Registered Nurse
137 N COTTONWOOD ST
WOODLAND, CA 95695

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891321311, enumerated as an "individual" on March 16, 2020.

The provider is located at 137 N COTTONWOOD ST WOODLAND, CA 95695 and the phone number is (530) 204-7015.

Rehabilitation Practitioner with taxonomy code 225400000X.