Active NPI
Christine Janelle Madrigal, NP
- Family Nurse Practitioner
- Redding, CA
National Provider Identifier
1215439294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95010278
- Practice address
- 1035 Placer St
Redding, CA 96001-1125 - Phone
- (530) 246-5710
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 736552 | TX | |
| Family Nurse Practitioner | 363LF0000X | 95010278 | CA | Primary |
Addresses
Primary practice location
1035 Placer St
Redding, CA 96001-1125
Mailing address
1035 Placer St
Redding, CA 96001-1125
Other practice location 1
518 Diana Dr
Converse, TX 78109-1135
Phone (619) 405-8718
Other names 1
- Christine Janelle Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 736552 | TX | MD | Medical-Surgical Registered Nurse |
| 95010278 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shasta Community Health Center | Current | Accepting new patients | |
| Shasta Community Health Center | Current | Accepting new patients | |
| Puyallup Tribal Opioid Clinic, Inc. | Current | Accepting new patients | |
| Shasta Community Health Center | Family | Current | Accepting new patients |
| Revive Pathway | Current | Accepting new patients | |
| New Life Health Authority | Current | Accepting new patients |
Locations
1240 Broadway
El Cajon, CA 92021
Phone (619) 841-1310
1035 Placer St
Redding, CA 96001
6650 Gunpark Dr
Ste 100
Boulder, CO 80301
503 E 26th St
Tacoma, WA 98421
Phone (253) 881-7001
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1114533171
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Tacoma, WA
- NPI 1992582613
TX
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Ukiah, CA
- NPI 1104435734
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1356815542
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1891710638
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1215439294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 PLACER ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960011125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 PLACER ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960011125",
"telephone_number": "530-246-5710"
}
],
"practiceLocations": [
{
"address_1": "518 Diana Dr",
"address_purpose": "LOCATION",
"city": "Converse",
"state": "TX",
"postal_code": "781091135",
"country_code": "US",
"telephone_number": "619-405-8718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADRIGAL",
"first_name": "CHRISTINE",
"middle_name": "JANELLE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "TX",
"license": "736552",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95010278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "DAVIS",
"middle_name": "JANELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.