Active NPI
Deborah Anne Cruz, CRNP
- Perinatal Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1356761324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perinatal Nurse Practitioner
- License
- VP003519T
- Practice address
- 111 S 11TH St
1252 Thompson Building
Philadelphia, PA 19107-4824 - Phone
- (215) 955-7833
- Fax
- (215) 923-3608
- NPI assigned
- Apr 17, 2014
- 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 |
|---|---|---|---|---|
| Perinatal Nurse Practitioner | 363LP1700X | VP003519T | PA | Primary |
Addresses
Primary practice location
111 S 11TH St
1252 Thompson Building
Philadelphia, PA 19107-4824
Mailing address
111 Street. 11TH Street.
1252 Thompson Building Jefferson University Hospital
Philadelphia, PA 19107
Phone (215) 955-7833
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 |
|---|---|---|---|
| VP003519T | PA | MD | Perinatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1356761324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 STREET. 11TH STREET.",
"address_2": "1252 THOMPSON BUILDING JEFFERSON UNIVERSITY HOSPITAL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19107",
"telephone_number": "215-955-7833",
"fax_number": "215-923-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH ST",
"address_2": "1252 THOMPSON BUILDING",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-7833",
"fax_number": "215-923-3608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "DEBORAH",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP1700X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Perinatal",
"state": "PA",
"license": "VP003519T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.