Active NPI
Alberta Jane Peugeot, ARNP-C
- Occupational Health Nurse Practitioner
- Frederick, MD
National Provider Identifier
1558403345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Nurse Practitioner
- License
- R170915
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R170915 | MD | MD | Occupational Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Professional Agency Inc | Past | Accepting new patients | |
| Pet LLC | Past | Accepting new patients | |
| Pensacola Radiology Consultants PA | 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.
-
- Adult Medicine Physician
- Pensacola, FL
- NPI 1427174762
-
- Diagnostic Radiology Physician
- Pensacola, FL
- NPI 1548291628
-
- Nuclear Radiology Physician
- Pensacola, FL
- NPI 1235148578
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.