Individual provider Active NPI

Savannah Nichole Kingsmith, CNM

  • Advanced Practice Midwife
  • Walnut Creek, CA
National Provider Identifier
1275262131
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236260 Issued in CA
Practice address
112 La Casa Via Ste 300
Walnut Creek, CA 94598-3059
Phone
(925) 239-0012
Fax
(925) 239-0011
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 236260 CA Primary

Addresses

Primary practice location

112 La Casa Via Ste 300
Walnut Creek, CA 94598-3059

Mailing address

112 La Casa Via Ste 300
Walnut Creek, CA 94598-3059
Phone (925) 239-0012

Other names 1

  • Dr. Savannah Nichole King Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709001841 CA Practitioner - Certified Nurse Midwife (CNM) 7810432317 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jul 1, 2024 Accepting new patients
Bass Medical Group CurrentSince Jul 1, 2024 Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

112 La Casa Via
Ste 300
Walnut Creek, CA 94598
Phone (925) 239-0012

Interoperability endpoints

  • Direct secure messaging: sking175607@ehr.johnmuirhealth.com

Organizations & group practices 4

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1275262131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983059",
            "telephone_number": "925-239-0012",
            "fax_number": "925-239-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983059",
            "telephone_number": "925-239-0012",
            "fax_number": "925-239-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSMITH",
        "first_name": "SAVANNAH",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "KING",
            "middle_name": "NICHOLE",
            "prefix": "DR.",
            "credential": "DNP, CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.