Individual provider Active NPI

Linda C Wight, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1962563627
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
265054 Issued in CA
Practice address
2121 Ygnacio Valley Rd
BLDG. E, Suite 101
Walnut Creek, CA 94598-3383
Phone
(925) 945-6600
Fax
(925) 945-7842
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 265054 CA Primary

Addresses

Primary practice location

2121 Ygnacio Valley Rd
BLDG. E, Suite 101
Walnut Creek, CA 94598-3383

Mailing address

2121 Ygnacio Valley Rd
BLDG. E, Suite 101
Walnut Creek, CA 94598-3383
Phone (925) 945-6600

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1982CAMDOccupational Therapist
265054CAMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962563627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 YGNACIO VALLEY RD",
            "address_2": "BLDG. E, SUITE 101",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983383",
            "telephone_number": "925-945-6600",
            "fax_number": "925-945-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 YGNACIO VALLEY RD",
            "address_2": "BLDG. E, SUITE 101",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983383",
            "telephone_number": "925-945-6600",
            "fax_number": "925-945-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "LINDA",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "265054",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.