Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Natividad

Individual provider Peer Specialist · NPI 1609585116

Nicole Natividad is a Peer Specialist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2235 Mercury Way Ste 107
Santa Rosa, CA 95407-5472
Phone: (707) 494-0762
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Peer Specialist Taxonomy 175T00000X · Licence MPSS-FUSKZE (CA)

Record details

NPI number1609585116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2022
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address2235 Mercury Way Ste 107, Santa Rosa, CA 95407-5472

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