Active NPI
Charity Peraza, LM
- Midwife
- Stuart, FL
National Provider Identifier
1124490685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW309
- Practice address
- 611 SW Federal Hwy
M
Stuart, FL 34994-2925 - Phone
- (772) 200-4277
- NPI assigned
- Oct 23, 2015
- 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 | MW309 | FL | Primary |
Addresses
Primary practice location
611 SW Federal Hwy
M
Stuart, FL 34994-2925
Mailing address
1004 NW 12TH Ter
Stuart, FL 34994-9604
Phone (305) 924-5959
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 |
|---|---|---|---|
| MW309 | FL | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1124490685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 NW 12TH TER",
"city": "STUART",
"state": "FL",
"postal_code": "349949604",
"telephone_number": "305-924-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SW FEDERAL HWY",
"address_2": "M",
"city": "STUART",
"state": "FL",
"postal_code": "349942925",
"telephone_number": "772-200-4277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERAZA",
"first_name": "CHARITY",
"credential": "LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-23",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "MW309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.