Individual provider Active NPI

Amy Michelle Ruggiero, CNM, ARNP

  • Advanced Practice Midwife
  • Orlando, FL
National Provider Identifier
1578933842
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
9297308 Issued in FL
Practice address
867 Outer Rd Ste a
Orlando, FL 32814-6652
Phone
(407) 898-6588
Fax
(407) 896-3785
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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 9297308 FL Primary

Addresses

Primary practice location

867 Outer Rd Ste a
Orlando, FL 32814-6652

Mailing address

867 Outer Rd Ste a
Orlando, FL 32814-6652
Phone (407) 898-6588

Other identifiers 1

IdentifierTypeStateIssuer
016004600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151119001378 FL Practitioner - Certified Nurse Midwife (CNM) 3577863778 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
9297308FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Apr 9, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 9, 2020 Accepting new patients

Locations

719 Rodel Cv
Ste 1015
Lake Mary, FL 32746
Phone (407) 262-5800

4401 S Orange Ave
Ste 113
Orlando, FL 32806

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

867 Outer Rd
Ste A
Orlando, FL 32814
Phone (407) 898-6588

7404 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 381-7387

Interoperability endpoints

  • Direct secure messaging: aruggiero106907@orlandohealth.medalliesdirect.net

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": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1578933842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 OUTER RD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146652",
            "telephone_number": "407-898-6588",
            "fax_number": "407-896-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 OUTER RD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146652",
            "telephone_number": "407-898-6588",
            "fax_number": "407-896-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "CNM, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "9297308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.