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 Name | MS. JENNIFER RUTH PETTIBONE RN |
| 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 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 10-10-2007 |
| Last Update Date | 10-10-2007 |
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 Code | 163WP0808X |
| Classification | Registered Nurse |
| Type | Nursing Service Providers |
| Specialization | Psychiatric/Mental Health |
| License No. | 464317 |
| License State | CA |
Business Address
2101 COURAGE DR
MS-10-200
FAIRFIELD, CA
ZIP 94533
Phone: (707) 784-2154
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 4 | 4 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 8 | 4 | 14 | |
| 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 = 4 | 4 | ||||||||
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 |
|---|---|---|---|
| 1396736732 | MS. SARAH JANE BOLGER RNP Individual | Nurse Practitioner (Family) | 2101 COURAGE DR FAIRFIELD, CA 94533 (707) 784-2048 |
| 1851327316 | MRS. SARAH KATHERINE LAYE M.S., R.D. Individual | Dietitian, Registered | 2101 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 |
| 1821103730 | DR. RAYMOND M. REYES M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2101 COURAGE DR BOX 4090, MAIL STATION 10-300 FAIRFIELD, CA 94533 (707) 435-2080 |
| 1811087232 | MISS ANNA MARIE ANTONIO FNP Individual | Nurse Practitioner (Family) | 2101 COURAGE DR FAIRFIELD, CA 94533 (707) 784-2010 |
| 1427139864 | DR. LAURIE MATIASEVICH DDS Individual | Dentist (Dental Public Health) | 2101 COURAGE DR FAIRFIELD, CA 94533 (707) 784-2120 |
| 1447336508 | TELECARE CORPORATION Organization | Psychiatric Hospital | 2101 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 |
| 1023178308 | MS. CYNTHIA LYNN BOTT LCSW Individual | Social Worker (Clinical) | 2101 COURAGE DR FAIRFIELD, CA 94533 (707) 784-2140 |
| 1518027309 | KATHY DEMAGGIO RD Individual | Dietitian, Registered | 2101 COURAGE DR NUTRITION, MS 10-100 FAIRFIELD, CA 94533 (707) 784-2216 |
| 1083774814 | MS. MICHELLE GERSON MFT Individual | Marriage & Family Therapist | 2101 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 |
| 1487715785 | MR. MARC ANTHONY CAMPOS ASW Individual | Social Worker (Clinical) | 2101 COURAGE DR FAIRFIELD, CA 94533 (707) 784-2140 |
| 1013078948 | MS. MELANIE DAWN COOK MFT Individual | Marriage & Family Therapist | 2101 COURAGE DR FAIRFIELD, CA 94533 (707) 784-2152 |
| 1124189857 | ERNESTINA A. MENDOZA MFTI Individual | Marriage & Family Therapist | 2101 COURAGE DR FAIRFIELD, CA 94533 (707) 784-2163 |
| 1023179645 | MS. 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]
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