Individual provider Active NPI

Naomi Nduta Mungai Loadholt, FNP

  • Family Nurse Practitioner
  • Chowchilla, CA
National Provider Identifier
1508074089
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
570341 Issued in CA
Practice address
23370 Road 22
California State Prison, Chowchilla
Chowchilla, CA 93610-8504
Phone
(559) 665-5531
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 570341 CA Primary

Addresses

Primary practice location

23370 Road 22
California State Prison, Chowchilla
Chowchilla, CA 93610-8504

Mailing address

PO Box 13128
Fresno, CA 93794-3128
Phone (559) 930-8870

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

LicenseStateTypeSpecialty
570341CAMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1508074089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13128",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937943128",
            "telephone_number": "559-930-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23370 ROAD 22",
            "address_2": "CALIFORNIA STATE PRISON, CHOWCHILLA",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936108504",
            "telephone_number": "559-665-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOADHOLT",
        "first_name": "NAOMI",
        "middle_name": "NDUTA MUNGAI",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "570341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chowchilla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.