Active NPI
Madeleine Carroll Morrison, N.D.
- Naturopath
- Sebastopol, CA
National Provider Identifier
1396962585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1365
- Practice address
- 435 Petaluma Ave Ste 150
Sebastopol, CA 95472-4273 - Phone
- (707) 861-7300
- NPI assigned
- Apr 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 904401 | AK | |
| Naturopath | 175F00000X | 1365 | CA | Primary |
Addresses
Primary practice location
435 Petaluma Ave Ste 150
Sebastopol, CA 95472-4273
Mailing address
475 Lincoln Ave
Cotati, CA 94931-6105
Phone (907) 632-5632
Other practice location 1
3330 Eagle St
Anchorage, AK 99503-4146
Phone (907) 561-2330
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 |
|---|---|---|---|
| 904401 | AK | MD | Naturopath |
| 1365 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bouch Medical Corporation | Past | Accepting new patients | |
| Hill Park Integrative Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Physician
- Sebastopol, CA
- NPI 1720467962
-
- General Practice Physician
- Sebastopol, CA
- NPI 1952755415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1396962585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 LINCOLN AVE",
"city": "COTATI",
"state": "CA",
"postal_code": "949316105",
"telephone_number": "907-632-5632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 PETALUMA AVE STE 150",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724273",
"telephone_number": "707-861-7300"
}
],
"practiceLocations": [
{
"address_1": "3330 Eagle St",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995034146",
"country_code": "US",
"telephone_number": "907-561-2330",
"fax_number": "907-561-1282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRISON",
"first_name": "MADELEINE",
"middle_name": "CARROLL",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AK",
"license": "904401",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "1365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.