Active NPI
Rebecca Marie Middleton
- Specialist
- Fair Oaks, CA
National Provider Identifier
1407954829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 8080 Madison Ave
Suite 204a
Fair Oaks, CA 95628-3759 - Phone
- (916) 524-1945
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
8080 Madison Ave
Suite 204a
Fair Oaks, CA 95628-3759
Mailing address
1736 Grouse Run Cir
Roseville, CA 95747-4921
Phone (916) 524-1945
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407954829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 GROUSE RUN CIR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957474921",
"telephone_number": "916-524-1945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8080 MADISON AVE",
"address_2": "SUITE 204A",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283759",
"telephone_number": "916-524-1945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "REBECCA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.