Active NPI
Victoria Ann Delestowicz, CNM
- Advanced Practice Midwife
- Rutherfordton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 862
- Practice address
- 175 Tryon Rd
Rutherfordton, NC 28139-3015 - Phone
- (828) 286-5583
- Fax
- (828) 651-0194
- NPI assigned
- Jan 9, 2007
- Last updated
- Aug 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 862 | NC | Primary |
| Advanced Practice Midwife | 367A00000X | RN202030 | GA |
Addresses
Primary practice location
175 Tryon Rd
Rutherfordton, NC 28139-3015
Mailing address
288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Phone (828) 286-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- University of Florida College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Tryon Rd
Suite a
Rutherfordton, NC 28139-3088
Phone (828) 286-5583
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN202030 | GA | MD | Advanced Practice Midwife |
| 862 | NC | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Rutherford Physician Practices LLC | Current | Accepting new patients | |
| DLP Rutherford Physician Practices LLC | Current | Accepting new patients | |
| Rutherford Hospital Inc | Past | Accepting new patients | |
| DLP Rutherford Regional Health System, LLC | Past | Accepting new patients |
Locations
801 W Mills St
Ste B
Columbus, NC 28722
Phone (828) 692-8097
175 Tryon Rd
Ste A
Rutherfordton, NC 28139
Phone (828) 286-0632
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
Interoperability endpoints
- victoria.delestowicz.1@9573.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Forest City, NC
- NPI 1962821322
-
dba Rutherford Family Care
- Rural Health Clinic/Center
- Rutherfordton, NC
- NPI 1720849391
-
- Psychiatric Hospital Unit
- Rutherfordton, NC
- NPI 1487743340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1104975515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 S RIDGECREST AVE",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281392838",
"telephone_number": "828-286-5000",
"fax_number": "828-245-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 TRYON RD",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281393015",
"telephone_number": "828-286-5583",
"fax_number": "828-651-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELESTOWICZ",
"first_name": "VICTORIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "862",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN202030",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutherfordton, NC
- Michael Barry Couser, DO
- Kerry Natasha Crain, RN, FNP
- Brenton S Curry, PA-C
- Barbara Mary Davenport, M.D.
- Jerald Albert Delagarza, MD
- Dellinger Family Care
- Candace Dellinger
- Andrew Demeusy, M.D.
- DLP Rutherford Physician Practices LLC (Rutherford Orthopaedics)
- DLP Rutherford Physician Practices LLC (Rutherford Family Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.