Active NPI
Michelle Marie Ruffalo, L.M., CPM
- Midwife
- Lutz, FL
National Provider Identifier
1114228038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW244
- Practice address
- 1845 Collier Pkwy Ste C
Lutz, FL 33549-8718 - Phone
- (813) 461-3844
- Fax
- (813) 776-3608
- NPI assigned
- Nov 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW244 | FL | Primary |
Addresses
Primary practice location
1845 Collier Pkwy Ste C
Lutz, FL 33549-8718
Mailing address
8326 Pine River Rd
Tampa, FL 33637-1011
Phone (321) 223-6707
Other practice location 1
8326 Pine River Rd
Tampa, FL 33637-1011
Phone (321) 223-6707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW244 | FL | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Midwives | Midwife | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Midwife
- Tampa, FL
- NPI 1790474971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1114228038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8326 PINE RIVER RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336371011",
"telephone_number": "321-223-6707",
"fax_number": "813-776-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 COLLIER PKWY STE C",
"city": "LUTZ",
"state": "FL",
"postal_code": "335498718",
"telephone_number": "813-461-3844",
"fax_number": "813-776-3608"
}
],
"practiceLocations": [
{
"address_1": "8326 Pine River Rd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336371011",
"country_code": "US",
"telephone_number": "321-223-6707",
"fax_number": "813-776-3608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUFFALO",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "L.M., CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-09",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "MW244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.