Active NPI
Christina Marie Evans, BSM, LM, CPM
- Midwife
- San Marcos, CA
National Provider Identifier
1184207524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 638
- Practice address
- 1745 Marilyn LN
San Marcos, CA 92069-9782 - Phone
- (760) 410-6499
- Fax
- (760) 452-4988
- NPI assigned
- May 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 638 | CA | Primary |
Addresses
Primary practice location
1745 Marilyn LN
San Marcos, CA 92069-9782
Mailing address
1745 Marilyn LN
San Marcos, CA 92069-9782
Phone (208) 771-1438
Other practice location 1
910 W San Marcos Blvd Ste 106
San Marcos, CA 92078-1116
Phone (760) 410-6499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 638 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1184207524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 MARILYN LN",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920699782",
"telephone_number": "208-771-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 MARILYN LN",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920699782",
"telephone_number": "760-410-6499",
"fax_number": "760-452-4988"
}
],
"practiceLocations": [
{
"address_1": "910 W San Marcos Blvd Ste 106",
"address_purpose": "LOCATION",
"city": "San Marcos",
"state": "CA",
"postal_code": "920781116",
"country_code": "US",
"telephone_number": "760-410-6499",
"fax_number": "760-452-4988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"credential": "BSM, LM, CPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.