MS. JENNIFER RUTH PETTIBONE RN
NPI 1003004474
Registered Nurse - Psychiatric/Mental Health in Fairfield, CA

NPI Status: Active since October 10, 2007

Contact Information

2101 COURAGE DR
MS-10-200
FAIRFIELD, CA
ZIP 94533
Phone: (707) 784-2154

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  • Individual
  • Female
  • Registered Nurse
  • Psychiatric/Mental Health

About JENNIFER PETTIBONE

This page provides the complete NPI Profile along with additional information for Jennifer Pettibone, a provider established in Fairfield, California with a medical specialization in Registered Nurse, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1003004474 assigned on October 2007. The practitioner's primary taxonomy code is 163WP0808X with license number 464317 (CA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1003004474
Provider Name
MS. JENNIFER RUTH PETTIBONE RN
Gender
Female
Entity Type
Individual
Location Address
2101 COURAGE DR MS-10-200 FAIRFIELD, CA 94533
Location Phone
(707) 784-2154
Mailing Address
1048 2ND ST APT 6 NOVATO, CA 94945
Mailing Phone
(415) 897-1899
Is Sole Proprietor?
No
Enumeration Date
10-10-2007
Last Update Date
10-10-2007
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A registered nurse (RN) like Jennifer Pettibone coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Registered Nurse Psychiatric/Mental Health

Taxonomy Code
163WP0808X
Type
Nursing Service Providers
License No.
464317
License State
CA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003004474, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 0 + 0 + 8 + 4 + 1 + 4 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1003004474.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
2101 COURAGE DR
FAIRFIELD, CA 94533
Dietitian, Registered
2101 COURAGE DR, MS 10-100, SCH AND SS
FAIRFIELD, CA 94533
Psychiatry & Neurology (Psychiatry)
2101 COURAGE DR
FAIRFIELD, CA 94533
Psychiatry & Neurology (Psychiatry)
2101 COURAGE DR, BOX 4090, MAIL STATION 10-300
FAIRFIELD, CA 94533
Nurse Practitioner (Family)
2101 COURAGE DR
FAIRFIELD, CA 94533
Dentist (Dental Public Health)
2101 COURAGE DR
FAIRFIELD, CA 94533
Psychiatric Hospital
2101 COURAGE DR
FAIRFIELD, CA 94533
Social Worker (Clinical)
2101 COURAGE DR, MS 10-100
FAIRFIELD, CA 94533
Counselor (Mental Health)
2101 COURAGE DR
FAIRFIELD, CA 94533
Social Worker (Clinical)
2101 COURAGE DR
FAIRFIELD, CA 94533
Dietitian, Registered
2101 COURAGE DR, NUTRITION, MS 10-100
FAIRFIELD, CA 94533
Marriage & Family Therapist
2101 COURAGE DR
FAIRFIELD, CA 94533
Counselor (Mental Health)
2101 COURAGE DR
FAIRFIELD, CA 94533
Marriage & Family Therapist
2101 COURAGE DR
FAIRFIELD, CA 94533
Marriage & Family Therapist
2101 COURAGE DR
FAIRFIELD, CA 94533
Counselor (Mental Health)
2101 COURAGE DR
FAIRFIELD, CA 94533
Social Worker (Clinical)
2101 COURAGE DR, MAIL STATION 10-300
FAIRFIELD, CA 94533
Marriage & Family Therapist
2101 COURAGE DR
FAIRFIELD, CA 94533
Marriage & Family Therapist
2101 COURAGE DR
FAIRFIELD, CA 94533
Marriage & Family Therapist
2101 COURAGE DR
FAIRFIELD, CA 94533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003004474, enumerated as an "individual" on October 10, 2007.

The provider is located at 2101 COURAGE DR MS-10-200 FAIRFIELD, CA 94533 and the phone number is (707) 784-2154.

Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.