Active NPI
Chris Stewart, NP
- Nurse Practitioner
- Santa Rosa, CA
National Provider Identifier
1770612905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP 9723
- Practice address
- 301 6TH St Ste 214
Santa Rosa, CA 95401-6270 - Phone
- (707) 303-3600
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- 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 | NP 9723 | CA | Primary |
Addresses
Primary practice location
301 6TH St Ste 214
Santa Rosa, CA 95401-6270
Mailing address
751 Lombardi CT Ste B
Santa Rosa, CA 95407-6793
Phone (707) 547-2222
Other practice location 1
751 Lombardi Ct
Santa Rosa, CA 95407-6798
Phone (707) 547-2222
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141006001164 | CA | Order and Referring Only - Nurse Practitioner | 9830140458 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9723 | CA | MD | Hearing Instrument Specialist |
| NP 9723 | CA | MD | Nurse Practitioner |
Interoperability endpoints
- cstewart627421@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1770612905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 LOMBARDI CT STE B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954076793",
"telephone_number": "707-547-2222",
"fax_number": "707-547-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 6TH ST STE 214",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954016270",
"telephone_number": "707-303-3600"
}
],
"practiceLocations": [
{
"address_1": "751 Lombardi Ct",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954076798",
"country_code": "US",
"telephone_number": "707-547-2222",
"fax_number": "707-547-2229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "CHRIS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP 9723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.