Active NPI
Abigail Cheitlin, MSN, RN, CRNP-WHNP
- Women's Health Nurse Practitioner
- Walnut Creek, CA
National Provider Identifier
1790324952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 95013578
- Practice address
- 1357 Oakland CT
Walnut Creek, CA 94596-4337 - Phone
- (925) 935-3010
- NPI assigned
- Jan 4, 2020
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 95013578 | CA | Primary |
Addresses
Primary practice location
1357 Oakland CT
Walnut Creek, CA 94596-4337
Mailing address
1522 Bush St
San Francisco, CA 94109-5420
Phone (510) 295-7926
Other practice location 1
1522 Bush St
San Francisco, CA 94109-5420
Phone (415) 920-2067
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 |
|---|---|---|---|---|
| I20200212000201 | CA | Order and Referring Only - Nurse Practitioner | 8628404530 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
Interoperability endpoints
- abigail.cheitlinnp.p1@direct.ppnorcal.nextgenshare.com
- acheitlin330292@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1790324952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1522 BUSH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941095420",
"telephone_number": "510-295-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 OAKLAND CT",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964337",
"telephone_number": "925-935-3010"
}
],
"practiceLocations": [
{
"address_1": "1522 Bush St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941095420",
"country_code": "US",
"telephone_number": "415-920-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEITLIN",
"first_name": "ABIGAIL",
"credential": "MSN, RN, CRNP-WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-04",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95013578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.