Individual provider Active NPI

Victoria Ann Delestowicz, CNM

  • Advanced Practice Midwife
  • Rutherfordton, NC
National Provider Identifier
1104975515
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
862 Issued in NC
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230427002615 NC Practitioner - Certified Nurse Midwife (CNM) 4183899461 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
RN202030GAMDAdvanced Practice Midwife
862NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Rutherford Physician Practices LLC CurrentSince Jul 1, 2024 Accepting new patients
DLP Rutherford Physician Practices LLC CurrentSince Jul 1, 2024 Accepting new patients
Rutherford Hospital Inc PastSince Aug 18, 2024 Accepting new patients
DLP Rutherford Regional Health System, LLC PastSince Aug 18, 2024 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.