Individual provider Active NPI

Christie Cambridge Zachreson, LM, CPM

  • Midwife
  • Roseville, CA
National Provider Identifier
1528530904
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
550 Issued in CA
Practice address
117 Rifle CT
Roseville, CA 95747-9643
Phone
(916) 412-7140
NPI assigned
Dec 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 550 CA Primary

Addresses

Primary practice location

117 Rifle CT
Roseville, CA 95747-9643

Mailing address

117 Rifle CT
Roseville, CA 95747-9643
Phone (916) 412-7140

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
550CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Midwifery Care Midwife CurrentSince Jan 22, 2023 Accepting new patients

Organizations & group practices 1

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": "1545436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1528530904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 RIFLE CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957479643",
            "telephone_number": "916-412-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 RIFLE CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957479643",
            "telephone_number": "916-412-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHRESON",
        "first_name": "CHRISTIE",
        "middle_name": "CAMBRIDGE",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-22",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "CA",
            "license": "550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.