Individual provider Active NPI

Debra Jean Fiore, CNM

  • Advanced Practice Midwife
  • Carrboro, NC
National Provider Identifier
1386735892
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
384 Issued in NC
Practice address
103 Pine Hill Dr
Carrboro, NC 27510-1215
Phone
(919) 428-0717
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 384 NC Primary

Addresses

Primary practice location

103 Pine Hill Dr
Carrboro, NC 27510-1215

Mailing address

103 Pine Hill Dr
Carrboro, NC 27510-1215
Phone (919) 428-0717

Other identifiers 1

IdentifierTypeStateIssuer
7002083MedicaidNC

Other names 1

  • Debra Jean O'Connell Former name

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

LicenseStateTypeSpecialty
000258CTMDAcupuncturist
384NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Carrboro Midwifery LLC Advanced Practice Midwife Past Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1386735892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PINE HILL DR",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101215",
            "telephone_number": "919-428-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PINE HILL DR",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101215",
            "telephone_number": "919-428-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORE",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002083",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "O'CONNELL",
            "middle_name": "JEAN",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.