Raenisha Strother, is a
Day Training/habilitation Specialist based in Stockton, California. Raenisha Strother is licensed to practice in * (Not Available) (license number ) and her current practice location is
1212 N California St, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(209) 468-8872.
NPI number for Raenisha Strother is 1245420207 and her current mailing address is 1924 Serena Ave, Modesto, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245420207.
Healthcare Provider's Profile
| Full Name | Raenisha Strother |
|---|
| Gender | Female |
|---|
| Speciality | Day Training/habilitation Specialist |
|---|
| Location | 1212 N California St, Stockton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1245420207
- Provider Enumeration Date: 07/26/2007
- Last Update Date: 04/02/2025
Medical Identifiers
Medical identifiers for Raenisha Strother such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245420207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raenisha Strother is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Raenisha Strother,
1924 Serena Ave,
Modesto, CA 95355-2937
Ph: (209) 496-6431 | Raenisha Strother,
1212 N California St,
Stockton, CA 95202-1552
Ph: (209) 468-8872 |
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