Organization Active NPI

Mackenzie Rose Midwifery

  • Midwife
  • Nevada City, CA
National Provider Identifier
1104664002
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
MACKENZIE ROSE MIDWIFERY
Practice address
508 Redbud Way
Nevada City, CA 95959-2156
Phone
(530) 277-2043
Fax
(530) 572-1524
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Mackenzie Rose Leeke, LM, CMPNPI 1114456340
Title
Owner
Phone
(530) 277-2043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

508 Redbud Way
Nevada City, CA 95959-2156

Mailing address

508 Redbud Way
Nevada City, CA 95959-2156
Phone (530) 277-2043

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1104664002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 REDBUD WAY",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592156",
            "telephone_number": "530-277-2043",
            "fax_number": "530-572-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 REDBUD WAY",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592156",
            "telephone_number": "530-277-2043",
            "fax_number": "530-572-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKENZIE ROSE MIDWIFERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "LEEKE",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-277-2043",
        "authorized_official_credential": "LM, CMP"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.