Individual provider Active NPI

Alberta Jane Peugeot, ARNP-C

  • Occupational Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1558403345
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
R170915 Issued in MD
Practice address
426 Woods Street
Frederick, MD 21702-1124
Phone
(301) 846-1096
Fax
(301) 846-6150
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X R170915 MD Primary

Addresses

Primary practice location

426 Woods Street
Frederick, MD 21702-1124

Mailing address

19738 Meadowbrook Rd
Hagerstown, MD 21742-2523
Phone (301) 766-7739

Other names 1

  • Alberta Jane Ruspi 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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R170915MDMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Professional Agency Inc Past Accepting new patients
Pet LLC PastSince May 29, 2013 Accepting new patients
Pensacola Radiology Consultants PA PastSince Jun 1, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1558403345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19738 MEADOWBROOK RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422523",
            "telephone_number": "301-766-7739",
            "fax_number": "301-766-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 WOODS STREET",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217021124",
            "telephone_number": "301-846-1096",
            "fax_number": "301-846-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEUGEOT",
        "first_name": "ALBERTA",
        "middle_name": "JANE",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "MD",
            "license": "R170915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALBERTA",
            "last_name": "RUSPI",
            "middle_name": "JANE",
            "credential": "MS, MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.