Active NPI
Ruth Claire Peterle-Dzurec, CNM
- Advanced Practice Midwife
- Providence, RI
National Provider Identifier
1467833327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN2292521
- Practice address
- 18 Imperial PL Unit 2D
Providence, RI 02903-4642 - Phone
- (401) 727-4800
- NPI assigned
- Jun 16, 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 | RN2292521 | MA | Primary |
Addresses
Primary practice location
18 Imperial PL Unit 2D
Providence, RI 02903-4642
Mailing address
18 Imperial PL Unit 2D
Providence, RI 02903-4642
Phone (401) 727-4800
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 |
|---|---|---|---|
| RN2292521 | MA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1467833327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 IMPERIAL PL UNIT 2D",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034642",
"telephone_number": "401-727-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 IMPERIAL PL UNIT 2D",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034642",
"telephone_number": "401-727-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERLE-DZUREC",
"first_name": "RUTH",
"middle_name": "CLAIRE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "RN2292521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.