Natatia Monique Peterson, CD, PCD, DEM

Primary specialty

MidwifeTaxonomy code 176B00000X

Practice address

3040 Wicker St NE
Canton, OH 44721

Phone

(330) 962-2365

NPI assigned

Aug 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Strive Collective Inc.

  • Doula
  • Canton, OH
  • NPI 1003635566
  NPD Authorized official

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1649998808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 301",
            "city": "MIDDLEBRANCH",
            "state": "OH",
            "postal_code": "44652",
            "telephone_number": "330-962-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 WICKER ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44721",
            "telephone_number": "330-962-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "NATATIA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "CD, PCD, DEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherrelle L Peterson
• Darryl Wayne Peterson II
• Deonna Peterson
• Desirea Peterson
• John Peterson, LISW, CDCA
• Tianna Ty'Sha Peterson
• Michael Petrides, DDS
• Pete Angelo Petrides, DDS, MPH
• Amie Marie Petrik
• Kristen Marie Petrilla, LCDC III, OCPS II

• Midwife in Canton, OH
• Providers in Canton, OH by specialty
• Midwife in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.