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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Stacy Roudebush

Substance Abuse Rehabilitation Facility in Rohnert Park, CA · enumerated 2015.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730559303

Verified

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Registry record

Entity type Individual (Type 1)
Name Stacy Roudebush
Sex Female
Practice address Rohnert Park, CA, 94928
Enumeration date Sep 25, 2015
Last updated in NPPES Sep 25, 2015

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License B6655711 (CA) Primary

Other identifiers

Identifier Type State Issuer
B6655711 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Stacy Roudebush practice?
The practice location on file with NPPES is in Rohnert Park, CA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Stacy Roudebush?
The National Provider Identifier (NPI) for Stacy Roudebush is 1730559303, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-25.