Individual provider Active NPI

Lindsay F Pettit, C.N.M., R.N.P.

  • Advanced Practice Midwife
  • Redwood City, CA
National Provider Identifier
1700838497
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
218 Issued in CA
Practice address
2900 Whipple Ave
#135
Redwood City, CA 94062-2843
Phone
(650) 366-5594
Fax
(650) 366-6352
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4948 CA
Advanced Practice Midwife 367A00000X 218 CA Primary

Addresses

Primary practice location

2900 Whipple Ave
#135
Redwood City, CA 94062-2843

Mailing address

2900 Whipple Ave
#135
Redwood City, CA 94062-2843
Phone (650) 366-5594

Other identifiers 3

IdentifierTypeStateIssuer
812OtherCANURSE MIDWIFE CERT #
4948OtherCANP CERT #
336037OtherCARN CERT #

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
I20060717000241 CA Practitioner - Certified Nurse Midwife (CNM) 0941213987 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
812CAMDNaturopath
4948CAMDMassage Therapist
218CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Jun 21, 2016 Accepting new patients
Stanford Health Care CurrentSince Jun 21, 2016 Accepting new patients
Stanford Health Care Current Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Jul 1, 2016 Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

2900 Whipple Ave
Ste 135
Redwood City, CA 94062
Phone (650) 366-5594

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1700838497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WHIPPLE AVE",
            "address_2": "#135",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622843",
            "telephone_number": "650-366-5594",
            "fax_number": "650-366-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WHIPPLE AVE",
            "address_2": "#135",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622843",
            "telephone_number": "650-366-5594",
            "fax_number": "650-366-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "LINDSAY",
        "middle_name": "F",
        "credential": "C.N.M., R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "4948",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE MIDWIFE CERT #",
            "identifier": "812",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP CERT #",
            "identifier": "4948",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN CERT #",
            "identifier": "336037",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.