Eva Marie Zazueta-Lara, PHN, WHNP

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LM478 Issued in CA

Practice address

9828 Berry LN
Windsor, CA 95492-9490

Phone

(707) 657-9528

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1073675179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 BERRY LN",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929490",
            "telephone_number": "707-657-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 BERRY LN",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929490",
            "telephone_number": "707-657-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAZUETA-LARA",
        "first_name": "EVA",
        "middle_name": "MARIE",
        "credential": "PHN, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "587221",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "19553",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073675179",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Windsor House 2
• Windsor Primary Care Medical Group Inc
• Windsor Unified School District
• Alicia Wolf, MFT
• Vivian Emily Worn, MD

• Midwife in Windsor, CA
• Providers in Windsor, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.