Individual provider Active NPI

Carolina Mabin, FNP

  • Family Nurse Practitioner
  • Redding, CA
National Provider Identifier
1770326449
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033783 Issued in CA
Practice address
1300 Jen CT
Redding, CA 96001-0623
Phone
(714) 930-3428
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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 95033783 CA Primary

Addresses

Primary practice location

1300 Jen CT
Redding, CA 96001-0623

Mailing address

1300 Jen CT
Redding, CA 96001-0623
Phone (714) 930-3428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250904002921 CA Practitioner - Nurse Practitioner 0941702443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1035 Placer St
Redding, CA 96001-1125

6633 Southgate Dr
Redding, CA 96001-4913

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95033783CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center CurrentSince Aug 1, 2025 Accepting new patients
Shasta Community Health Center CurrentSince Aug 1, 2025 Accepting new patients

Locations

1035 Placer St
Redding, CA 96001

Interoperability endpoints

  • Direct secure messaging: carolina.mabinnp.p1@direct.schc.nextgenshare.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1770326449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 JEN CT",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010623",
            "telephone_number": "714-930-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 JEN CT",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010623",
            "telephone_number": "714-930-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABIN",
        "first_name": "CAROLINA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.