Active NPI
Krystel Lejoia Wilkins, CNM
- Midwife
- Davis, CA
National Provider Identifier
1609439082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 236019
- Practice address
- 2020 Sutter PL Ste 203B
Davis, CA 95616-6213 - Phone
- (530) 750-5880
- NPI assigned
- Apr 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 236019 | CA | Primary |
Addresses
Primary practice location
2020 Sutter PL Ste 203B
Davis, CA 95616-6213
Mailing address
1520 E Covell Blvd
Ste B5 #609
Davis, CA 95616
Other practice location 1
2051 John Jones Rd
Davis, CA 95616
Phone (530) 758-2060
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236019 | CA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Ole Health | Current | Accepting new patients | |
| Ole Health | Current | Accepting new patients | |
| Ole Health | Current | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients |
Locations
2051 John Jones Rd
Davis, CA 95616
Phone (530) 753-3498
1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- kwilkins430339@hisp.ehr.sutterhealth.org
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1700976503
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1245043165
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1609170695
-
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1710087515
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Davis, CA
- NPI 1770532608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1609439082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 E COVELL BLVD",
"address_2": "STE B5 #609",
"city": "DAVIS",
"state": "CA",
"postal_code": "95616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 SUTTER PL STE 203B",
"city": "DAVIS",
"state": "CA",
"postal_code": "956166213",
"telephone_number": "530-750-5880"
}
],
"practiceLocations": [
{
"address_1": "2051 John Jones Rd",
"address_purpose": "LOCATION",
"city": "Davis",
"state": "CA",
"postal_code": "95616",
"country_code": "US",
"telephone_number": "530-758-2060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKINS",
"first_name": "KRYSTEL",
"middle_name": "LEJOIA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-21",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "236019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.