Individual provider Active NPI

Abigail Cheitlin, MSN, RN, CRNP-WHNP

  • Women's Health Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1790324952
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95013578 Issued in CA
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

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

  • Direct secure messaging: abigail.cheitlinnp.p1@direct.ppnorcal.nextgenshare.com
  • Direct secure messaging: 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

Verify at the official NPI Registry.