Individual provider Active NPI

Erin Kinmont

  • Advanced Practice Midwife
  • Davis, CA
National Provider Identifier
1679111637
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
1590 Drew Ave Ste 210
Davis, CA 95618-7848
Phone
(530) 753-3498
NPI assigned
Dec 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95013564 CA
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

1590 Drew Ave Ste 210
Davis, CA 95618-7848

Mailing address

1590 Drew Ave Ste 210
Davis, CA 95618-7848

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
I20200306002014 CA Practitioner - Certified Nurse Midwife (CNM) 9133557051 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95013564CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Health CurrentSince Jan 27, 2020 Accepting new patients
Ole Health Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 24, 2020 Accepting new patients
Ole Health CurrentSince Jan 27, 2020 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 24, 2020 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Sutter West Bay Medical Foundation Advanced Practice Midwife PastSince Dec 22, 2019 Accepting new patients

Locations

2051 John Jones Rd
Davis, CA 95616
Phone (530) 753-3498

2020 Sutter Pl
Ste 203
Davis, CA 95616
Phone (530) 750-5880

2020 Sutter Pl
Davis, CA 95616
Phone (530) 750-5900

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

500 Jefferson Blvd
Ste B180
West Sacramento, CA 95605
Phone (916) 375-6400

Interoperability endpoints

  • Direct secure messaging: ekinmont343540@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1679111637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 DREW AVE STE 210",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 DREW AVE STE 210",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187848",
            "telephone_number": "530-753-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINMONT",
        "first_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95013564",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.