Individual provider Active NPI

Christara Holtgrefe, RN

  • Registered Nurse
  • Apple Valley, CA
National Provider Identifier
1962384602
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95088676 Issued in CA
Practice address
12555 Navajo Rd
Apple Valley, CA 92308-7256
Phone
(760) 247-7206
Fax
(760) 946-9861
NPI assigned
Jul 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95088676 CA Primary

Addresses

Primary practice location

12555 Navajo Rd
Apple Valley, CA 92308-7256

Mailing address

12555 Navajo Rd
Apple Valley, CA 92308-7256
Phone (760) 247-7206

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95088676CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Valley Unified School District CurrentSince Jul 28, 2025 Accepting new patients

Locations

12555 Navajo Rd
Apple Valley, CA 92308
Phone (760) 247-7206

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": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1962384602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 NAVAJO RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923087256",
            "telephone_number": "760-247-7206",
            "fax_number": "760-946-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 NAVAJO RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923087256",
            "telephone_number": "760-247-7206",
            "fax_number": "760-946-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTGREFE",
        "first_name": "CHRISTARA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95088676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.