Active NPI
Renee Peet, CNM
- Advanced Practice Midwife
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN1644462
- Practice address
- 16261 Bass Rd
Suite 100
Fort Myers, FL 33908-3671 - Phone
- (239) 481-5477
- Fax
- (239) 201-2284
- NPI assigned
- Nov 18, 2005
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | RN1644462 | FL | Primary |
Addresses
Primary practice location
16261 Bass Rd
Suite 100
Fort Myers, FL 33908-3671
Mailing address
8270 College Pkwy
Suite 205
Fort Myers, FL 33919-4102
Phone (239) 333-3826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301685400 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1644462 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Florida Inc | Current | Accepting new patients | |
| Port Charlotte Hma Physician Management LLC | Past | Accepting new patients | |
| Port Charlotte Hma Physician Management LLC | Past | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
16261 Bass Rd
Ste 100
Fort Myers, FL 33908
Phone (239) 343-9890
3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873
1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401
12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909
1300 Sawgrs Corp Pkwy
Ste 200
Sunrise, FL 33323
Phone (954) 384-0175
3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000
Interoperability endpoints
- renee.peetcnm.p82@direct.mednax.nextgenshare.com
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.
-
- Pediatric Cardiology Physician
- Sunrise, FL
- NPI 1083711790
-
- Family Medicine Physician
- Punta Gorda, FL
- NPI 1003985573
-
- Rural Health Clinic/Center
- Arcadia, FL
- NPI 1730672379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1669454252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8270 COLLEGE PKWY",
"address_2": "SUITE 205",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339194102",
"telephone_number": "239-333-3826",
"fax_number": "239-201-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16261 BASS RD",
"address_2": "SUITE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083671",
"telephone_number": "239-481-5477",
"fax_number": "239-201-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEET",
"first_name": "RENEE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "RN1644462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301685400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.