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Deactivated NPI 1457104606 Deactivated / Inactive NPI Female Practitioner

Isabella Kullander

Peer Specialist • Jackson, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Isabella Kullander has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 08, 2024
NPI Deactivation Date March 02, 2026
Total Practice Duration ~2 Years of Practice (2024 – 2026)

Professional Overview & Biography Verified Profile Summary

Isabella Kullander was a registered Peer Specialist practicing in Jackson, CA. Throughout an active medical career spanning 2 years, Isabella Kullander provided care at the practice location at 601 COURT ST STE 205 until profile deactivation on 2026-03-02.

Practice Location & Contact Primary Location

Practice Address

601 Court St Ste 205

Jackson, CA 956422163

Telephone 2092571980
Associated Practice Facility / Clinic
🏢 Nexus Youth & Family Services Facility NPI 1740175264

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Jackson, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Jackson, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-04
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
175T00000X (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Amanda Gold , AMFT#

Marriage & Family Therapist

NPI 1063154268
Gianna Dillon

Community Health Worker

NPI 1083500979
Amber Susich

Peer Specialist

NPI 1114886371
Etienne Pieterse

Community Health Worker

NPI 1124914874
Kelsey Fereria

Community Health Worker

NPI 1154280303
Mckenzie Rainwater

Community Health Worker

NPI 1225980360

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 02, 2026

Registered at 601 COURT ST STE 205, JACKSON, CA 956422163 (Tel: 2092571980)

📍
Updated Business Mailing Address June 02, 2026

Registered at 601 COURT ST STE 205, JACKSON, CA 956422163 (Tel: 2092571980)

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Provider Name / Credentials Updated June 02, 2026

Recorded as ISABELLA KULLANDER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2026

Behavior Technician

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NPI Profile Deactivated March 02, 2026

Record deactivated on March 02, 2026

📍
Updated Practice Location February 04, 2026

Registered at 601 COURT ST STE 205, JACKSON, CA 956422163 (Tel: 2092571980)

📍
Updated Business Mailing Address February 04, 2026

Registered at 601 COURT ST STE 205, JACKSON, CA 956422163 (Tel: 2092571980)

NPI Profile Active April 08, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2024

Registered at 591 WATT AVE STE 120, SACRAMENTO, CA 958645027 (Tel: 9164482050)

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Updated Business Mailing Address April 08, 2024

Registered at 591 WATT AVE STE 120, SACRAMENTO, CA 958645027 (Tel: 9164482050)

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Provider Name / Credentials Updated April 08, 2024

Recorded as ISABELLA KULLANDER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2024

Behavior Technician

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Initial NPI Registration & Enumeration April 08, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457104606
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2024
Last Update: June 02, 2026
Deactivation Date: March 02, 2026
Sole Proprietor: No

Mailing Address

601 Court St Ste 205

Jackson, CA 956422163

Phone: 2092571980

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.