Active NPI
Lindsay F Pettit, C.N.M., R.N.P.
- Advanced Practice Midwife
- Redwood City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 218
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812 | Other | CA | NURSE MIDWIFE CERT # |
| 4948 | Other | CA | NP CERT # |
| 336037 | Other | CA | RN 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 812 | CA | MD | Naturopath |
| 4948 | CA | MD | Massage Therapist |
| 218 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| LPCH Medical Group Div of Lucile | Current | 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.
-
dba Lucile Salter Packard Children's Hospital at Stanford
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
dba Stanford Health Care Emeryville 5800
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
dba Stanford Health Care Specialty Pharmacy
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.