Active NPI
Diane Cecile Robertson, CNM
- Midwife
- Dover, DE
National Provider Identifier
1629261433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LK 0000134
- Practice address
- 1200 N Dupont Hwy
Dover, DE 19901-2202 - Phone
- (302) 857-6393
- Fax
- (302) 857-7676
- NPI assigned
- Aug 24, 2007
- Last updated
- Aug 24, 2007
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | LK 0000134 | DE | Primary |
Addresses
Primary practice location
1200 N Dupont Hwy
Dover, DE 19901-2202
Mailing address
62 Vining Run
Camden, DE 19934-8207
Phone (302) 697-0840
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LK 0000134 | DE | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1629261433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 VINING RUN",
"city": "CAMDEN",
"state": "DE",
"postal_code": "199348207",
"telephone_number": "302-697-0840",
"fax_number": "302-697-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N DUPONT HWY",
"city": "DOVER",
"state": "DE",
"postal_code": "199012202",
"telephone_number": "302-857-6393",
"fax_number": "302-857-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "DIANE",
"middle_name": "CECILE",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-24",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "DE",
"license": "LK 0000134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.