Jennifer Leigh Stiekema, DNP, CPNP-BC, MS, RN

Key facts

NPI

1194480707

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Nurse Practitioner 363LP0200X

License

95015322 (CA)

Practice address

5000 Parkway Calabasas Ste 203
Calabasas, CA 91302-3924

Phone

(818) 651-9210

Fax

(818) 584-7934

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

No

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.

• Agoura-West Valley Pediatric Medical Group Pediatrics Physician · West Hills, CA · NPI 1730108366
  NPD (past) PEDIATRICS
• Parkway Pediatric Medical Group Inc Pediatrics Physician · Calabasas, CA · NPI 1831919851
  NPD (past) PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

Practice roles (2 of 3)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 31, 2026.

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1194480707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PARKWAY CALABASAS STE 203",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023924",
            "telephone_number": "818-651-9210",
            "fax_number": "818-584-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PARKWAY CALABASAS STE 203",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023924",
            "telephone_number": "818-651-9210",
            "fax_number": "818-584-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEKEMA",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DNP, CPNP-BC, MS, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "95015322",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95015322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Calabasas, CA · Pediatric Nurse Practitioner in California