Active NPI
Chelsea Fredlund, LM, CPM
- Midwife
- Placerville, CA
National Provider Identifier
1396081402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 464
- Practice address
- 1598 Barrett Dr
Placerville, CA 95667-6014 - Phone
- (916) 531-5212
- NPI assigned
- Dec 17, 2012
- Last updated
- Mar 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 464 | CA | Primary |
Addresses
Primary practice location
1598 Barrett Dr
Placerville, CA 95667-6014
Mailing address
PO Box 2556
Placerville, CA 95667-2556
Other practice location 1
2911 23rd Ave
Sacramento, CA 95820-3728
Phone (916) 457-7197
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 |
|---|---|---|---|
| 464 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1396081402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2556",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956672556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1598 BARRETT DR",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956676014",
"telephone_number": "916-531-5212"
}
],
"practiceLocations": [
{
"address_1": "2911 23rd Ave",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958203728",
"country_code": "US",
"telephone_number": "916-457-7197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREDLUND",
"first_name": "CHELSEA",
"name_prefix": "Mrs.",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.