What is Etienne Pieterse's NPI number?

Etienne Pieterse's National Provider Identifier (NPI) is 1124914874, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Etienne Pieterse's specialty?

Etienne Pieterse is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Etienne Pieterse located?

Etienne Pieterse's practice location on file with NPPES is 601 Court St Ste 210, Jackson, CA 95642-2163.

What is Etienne Pieterse's phone number?

The practice phone number listed in the NPPES registry for Etienne Pieterse is (209) 257-1980.

Is Etienne Pieterse's NPI active?

Yes — Etienne Pieterse's NPI (1124914874) is active in the NPPES registry as of the last update on 2026-03-02.

IndividualActive

Etienne Pieterse

NPI 1124914874 · Community Health Worker · Jackson, CA

Etienne Pieterse is a Community Health Worker provider in Jackson, CA (NPI 1124914874).

Provider details

NPI number: 1124914874
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

601 Court St Ste 210

Jackson, CA 95642-2163

Phone: (209) 257-1980

Fax: (209) 257-1989

Street-level locationGet directions

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Mailing address