Active NPI
Kira Jean De Gregorio, CNM
- Advanced Practice Midwife
- Stuart, FL
National Provider Identifier
1386033686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN9334800
- Practice address
- 3801 S Kanner Hwy Ste 200
Stuart, FL 34994-4801 - Phone
- (772) 419-3301
- Fax
- (772) 419-3302
- NPI assigned
- Jan 10, 2015
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APRN9334800 | FL | Primary |
Addresses
Primary practice location
3801 S Kanner Hwy Ste 200
Stuart, FL 34994-4801
Mailing address
PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-2832
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017590200 | Medicaid | FL | |
| 14YYO | Other | FL | FLORIDA BLUE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1386033686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417",
"city": "STUART",
"state": "FL",
"postal_code": "349950417",
"telephone_number": "772-223-2832",
"fax_number": "772-223-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S KANNER HWY STE 200",
"city": "STUART",
"state": "FL",
"postal_code": "349944801",
"telephone_number": "772-419-3301",
"fax_number": "772-419-3302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE GREGORIO",
"first_name": "KIRA",
"middle_name": "JEAN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-10",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN9334800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017590200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "14YYO",
"state": "FL"
}
],
"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 Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.