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

About MS. JENNIFER RUTH PETTIBONE RN

Jennifer Pettibone is a provider established in Fairfield, California and her medical specialization is Registered Nurse with a focus in psychiatric/mental health . The NPI number of this provider is 1003004474 and was 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 15 years ago.

NPI
1003004474
Provider NameMS. JENNIFER RUTH PETTIBONE RN
Location Address2101 COURAGE DR MS-10-200 FAIRFIELD, CA 94533
Location Phone(707) 784-2154
Mailing Address1048 2ND ST APT 6 NOVATO, CA 94945
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date10-10-2007
Last Update Date10-10-2007


Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code163WP0808X
ClassificationRegistered Nurse
TypeNursing Service Providers
SpecializationPsychiatric/Mental Health
License No.464317
License StateCA

Business Address

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

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Mailing Address

1048 2ND ST APT 6
NOVATO, CA
ZIP 94945
Phone: (415) 897-1899


Location Map

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003004474
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003008414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 8 + 4 + 1 + 4 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1003004474 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1396736732MS. SARAH JANE BOLGER RNP
Individual
Nurse Practitioner (Family)2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2048
1851327316MRS. SARAH KATHERINE LAYE M.S., R.D.
Individual
Dietitian, Registered2101 COURAGE DR MS 10-100, SCH AND SS
FAIRFIELD, CA 94533
(707) 435-2213
1235244294 HOMAYOUN FAGHIHI-SHIRAZI M.D.
Individual
Psychiatry & Neurology (Psychiatry)2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 435-2077
1821103730DR. RAYMOND M. REYES M.D.
Individual
Psychiatry & Neurology (Psychiatry)2101 COURAGE DR BOX 4090, MAIL STATION 10-300
FAIRFIELD, CA 94533
(707) 435-2080
1811087232MISS ANNA MARIE ANTONIO FNP
Individual
Nurse Practitioner (Family)2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2010
1427139864DR. LAURIE MATIASEVICH DDS
Individual
Dentist (Dental Public Health)2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2120
1447336508TELECARE CORPORATION
Organization
Psychiatric Hospital2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2130
1336208784 KELLIE MARIE KEKKI LCSW
Individual
Social Worker (Clinical)2101 COURAGE DR MS 10-100
FAIRFIELD, CA 94533
(707) 784-2010
1992865224 CARRIE BERNICE BLOOM
Individual
Counselor (Mental Health)2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2140
1023178308MS. CYNTHIA LYNN BOTT LCSW
Individual
Social Worker (Clinical)2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2140
1518027309 KATHY DEMAGGIO RD
Individual
Dietitian, Registered2101 COURAGE DR NUTRITION, MS 10-100
FAIRFIELD, CA 94533
(707) 784-2216
1083774814MS. MICHELLE GERSON MFT
Individual
Marriage & Family Therapist2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2070
1346300480 PRISCILLA MARIA DE LEON
Individual
Counselor (Mental Health)2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2140
1306906474 LEO HELMUTH SADDAM RN
Individual
Registered Nurse (Psychiatric/Mental Health)2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2101
1487715710 JULIE L. COOPER R.N.
Individual
Registered Nurse (Psychiatric/Mental Health)2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2140
1487715785MR. MARC ANTHONY CAMPOS ASW
Individual
Social Worker (Clinical)2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2140
1013078948MS. MELANIE DAWN COOK MFT
Individual
Marriage & Family Therapist2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2152
1124189857 ERNESTINA A. MENDOZA MFTI
Individual
Marriage & Family Therapist2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2163
1023179645MS. CIELO LUCIA SCHAUGAARD
Individual
Counselor (Mental Health)2101 COURAGE DR
FAIRFIELD, CA 94533
(707) 784-2140
1073674974 ROXANNE JOHNSON PATERNO L.C.S.W.
Individual
Social Worker (Clinical)2101 COURAGE DR MAIL STATION 10-300
FAIRFIELD, CA 94533
(707) 784-2150

Frequently Asked Questions

What is Ms. Jennifer Pettibone RN NPI number?

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

Where is Ms. Jennifer Pettibone RN located?

The provider is located at 2101 Courage Dr Ms-10-200 Fairfield, Ca 94533 and the phone number is (707) 784-2154

Which is Ms. Jennifer Pettibone RN specialty?

The provider's speciality is Registered Nurse with a focus in Psychiatric/Mental Health

How do I update my NPI information?

The NPI record of Ms. Jennifer Pettibone RN was last updated on October 10, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.