Healthcare Provider Details

I. General information

NPI: 1891520896
Provider Name (Legal Business Name): LINDSAY GENTRY STEGEMAN LEVESQUE CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY GENTRY STEGEMAN

II. Dates (important events)

Enumeration Date: 09/07/2024
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 N TRACY BLVD
TRACY CA
95376-3445
US

IV. Provider business mailing address

1691 THE ALAMEDA
SAN JOSE CA
95126-2203
US

V. Phone/Fax

Practice location:
  • Phone: 877-855-7526
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236465
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: