Active NPI
Colleen Peck, CNM
- Midwife
- Washington, DC
National Provider Identifier
1437574472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- F001597
- Practice address
- 1225 4TH St NE
Washington, DC 20002-3431 - Phone
- (202) 347-8512
- NPI assigned
- Feb 27, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | CNM200004151 | DC | |
| Midwife | 176B00000X | 024184601 | VA | |
| Midwife | 176B00000X | R167646 | MD | |
| Midwife | 176B00000X | F001597 | NY | Primary |
Addresses
Primary practice location
1225 4TH St NE
Washington, DC 20002-3431
Mailing address
1225 4TH St NE
Washington, DC 20002-3431
Phone (202) 347-8500
Other practice location 1
5001 Silver Hill Rd
Suitland, MD 20746-5215
Phone (240) 619-3050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03924807 | Medicaid | NY |
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 |
|---|---|---|---|
| 001597 | NY | MD | Acupuncturist |
| CNM200004151 | DC | MD | Midwife |
| R167646 | MD | MD | Midwife |
| F001597 | NY | MD | Midwife |
| 024184601 | VA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of the Southern Finger Lakes Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Planned Parenthood of Metropolitan Washington DC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Gynecology Physician
- Washington, DC
- NPI 1538253786
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Ambulatory Family Planning Facility
- Ithaca, NY
- NPI 1881761484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1437574472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 4TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023431",
"telephone_number": "202-347-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 4TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023431",
"telephone_number": "202-347-8512"
}
],
"practiceLocations": [
{
"address_1": "5001 Silver Hill Rd",
"address_purpose": "LOCATION",
"city": "Suitland",
"state": "MD",
"postal_code": "207465215",
"country_code": "US",
"telephone_number": "240-619-3050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PECK",
"first_name": "COLLEEN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-27",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "DC",
"license": "CNM200004151",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "VA",
"license": "024184601",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MD",
"license": "R167646",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "F001597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03924807",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.