Active NPI
Deborah Fuentes, LM, CPM
- Midwife
- North Port, FL
National Provider Identifier
1730632472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW328
- Practice address
- 1935 Marasco LN
North Port, FL 34286-7647 - Phone
- (941) 264-6084
- Fax
- (570) 227-2306
- NPI assigned
- Jul 29, 2016
- 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 | MW328 | FL | Primary |
Addresses
Primary practice location
1935 Marasco LN
North Port, FL 34286-7647
Mailing address
1935 Marasco LN
North Port, FL 34286-7647
Phone (941) 264-6084
Other practice location 1
2575 N Toledo Blade
Ste #3
North Port, FL 34289
Phone (941) 264-6084
Other practice location 2
804 Sarah St Ste 102
Stroudsburg, PA 18360
Phone (941) 264-6084
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW328 | FL | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Maternity Care Center | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Port Charlotte, FL
- NPI 1265043889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1730632472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 MARASCO LN",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342867647",
"telephone_number": "941-264-6084",
"fax_number": "570-227-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 MARASCO LN",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342867647",
"telephone_number": "941-264-6084",
"fax_number": "570-227-2306"
}
],
"practiceLocations": [
{
"address_1": "2575 N Toledo Blade",
"address_2": "STE #3",
"address_purpose": "LOCATION",
"city": "North Port",
"state": "FL",
"postal_code": "34289",
"country_code": "US",
"telephone_number": "941-264-6084",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "804 Sarah St Ste 102",
"address_purpose": "LOCATION",
"city": "Stroudsburg",
"state": "PA",
"postal_code": "18360",
"country_code": "US",
"telephone_number": "941-264-6084",
"fax_number": "570-227-2306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUENTES",
"first_name": "DEBORAH",
"credential": "LM, CPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-29",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "MW328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.