Individual provider Active NPI

Christine Janelle Madrigal, NP

  • Family Nurse Practitioner
  • Redding, CA
National Provider Identifier
1215439294
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010278 Issued in CA
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

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191121001096 CA Practitioner - Nurse Practitioner 4183056633 Reassigns benefits to 1 organization
I20250303001811 TX Practitioner - Nurse Practitioner 4183056633 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
736552TXMDMedical-Surgical Registered Nurse
95010278CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center Current Accepting new patients
Shasta Community Health Center CurrentSince Sep 23, 2019 Accepting new patients
Puyallup Tribal Opioid Clinic, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Shasta Community Health Center Family CurrentSince Sep 23, 2019 Accepting new patients
Revive Pathway CurrentSince Jan 1, 2025 Accepting new patients
New Life Health Authority CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.