Active NPI
Jennifer Kristen Peicott, CNP
- Nurse Practitioner
- Culver City, CA
National Provider Identifier
1770020638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2291050
- Practice address
- 6167 Bristol Pkwy
Culver City, CA 90230-6610 - Phone
- (310) 237-1833
- NPI assigned
- Jan 30, 2017
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2291050 | MA | Primary |
Addresses
Primary practice location
6167 Bristol Pkwy
Culver City, CA 90230-6610
Mailing address
6167 Bristol Pkwy # 425
Culver City, CA 90230-6610
Phone (310) 237-1833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2291050 | MA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748044800000",
"number": "1770020638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6167 BRISTOL PKWY # 425",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306610",
"telephone_number": "310-237-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6167 BRISTOL PKWY",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306610",
"telephone_number": "310-237-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEICOTT",
"first_name": "JENNIFER",
"middle_name": "KRISTEN",
"name_prefix": "Miss",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-30",
"last_updated": "2025-05-24",
"certification_date": "2025-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "2291050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.