Active NPI
Debra A Ericksonowens, CNM
- Midwife
- Providence, RI
National Provider Identifier
1184773210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW00082
- Practice address
- 1 Randall SQ
Suite 205
Providence, RI 02904-2709 - Phone
- (401) 331-6980
- Fax
- (401) 331-6181
- NPI assigned
- Jan 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW00082 | RI | Primary |
Addresses
Primary practice location
1 Randall SQ
Suite 205
Providence, RI 02904-2709
Mailing address
1 Randall SQ
Suite 205
Providence, RI 02904-2709
Phone (401) 331-6980
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7007343 | Medicaid | RI | |
| 411803 | Other | RI | UGS |
| 411833 | Other | RI | UGS |
| 411813 | Other | RI | UGS |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW00082 | RI | MD | Midwife |
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": "1374451200000",
"number": "1184773210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RANDALL SQ",
"address_2": "SUITE 205",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042709",
"telephone_number": "401-331-6980",
"fax_number": "401-331-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RANDALL SQ",
"address_2": "SUITE 205",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042709",
"telephone_number": "401-331-6980",
"fax_number": "401-331-6181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSONOWENS",
"first_name": "DEBRA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "RI",
"license": "MW00082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7007343",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UGS",
"identifier": "411803",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UGS",
"identifier": "411833",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UGS",
"identifier": "411813",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
- Eric Newton MD LLC
- Erica R. Tsai, MD, Ms, LLC
- Kathryn Kelly Erickson-Ridout, M.D.
- Allan Douglas Erickson, M.D.
- Peter Gregory Erickson, PH.D.
- Shannon Marie Erisman, PHD
- Ernest P. Votolato, D.M.D. & Frank a. Pazienza, D.D.S., Inc.
- Susan S. Erstling, PH.D., LICSW
- Samantha Dianne Erwin, RN
- Luis Anthony Escobar, CADC, LCDP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.