MICAH LEON CHILDRESS NP
NPI 1063291847
Nurse Practitioner - Acute Care in Rocklin, CA

Q: What is Micah Childress's NPI number?

The NPI number for Micah Childress is 1063291847. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Q: What is Micah Childress's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Micah Childress was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2023

2340 SUNSET BLVD #100, STUDIO 23, ROCKLIN, CA 95765(903) 918-3016 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2026, Jan 20, 2026, Nov 25, 2025 (3 updates tracked since 2025).

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About Micah Leon Childress Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICAH LEON CHILDRESS NP (NPI 1063291847) is an individual acute care provider in Rocklin, California, licensed in California (95027332) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1063291847

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameMICAH LEON CHILDRESSCredential: NP

Location Address2340 SUNSET BLVD #100, STUDIO 23Rocklin, CA 95765

Mailing Address1331 Larkspur DrRocklin, CA 95765-5593 · (903) 918-3016

Phone(903) 918-3016

Sole ProprietorYes

Enumeration DateSeptember 21, 2023

Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1063291847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in CA · 95027332✔ Licensed in TX · 1138148✔ Licensed in OR · 10055339✔ Licensed in NV · 897150✔ Licensed in AZ · 333548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micah Childress's NPI number?

The NPI number for Micah Childress is 1063291847. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Micah Childress located?

Micah Childress practices at 2340 Sunset Blvd #100 Studio 23, Rocklin, CA 95765. The listed phone number is (903) 918-3016.

What is Micah Childress's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Micah Childress was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.