Active NPI
Diane Griffiths Peck, CNM
- Advanced Practice Midwife
- Boston, MA
National Provider Identifier
1760483002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- NM172899
- Practice address
- 415 Columbia Road
Uphams Corner Health Center
Boston, MA 02125 - Phone
- (617) 740-8000
- Fax
- (617) 740-8060
- NPI assigned
- Aug 9, 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 | NM172899 | MA | Primary |
Addresses
Primary practice location
415 Columbia Road
Uphams Corner Health Center
Boston, MA 02125
Mailing address
415 Columbia Road
Uphams Corner Health Center
Boston, MA 02125
Phone (617) 740-8000
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NM172899 | MA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185753600000",
"number": "1760483002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 COLUMBIA ROAD",
"address_2": "UPHAMS CORNER HEALTH CENTER",
"city": "BOSTON",
"state": "MA",
"postal_code": "02125",
"telephone_number": "617-740-8000",
"fax_number": "617-740-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 COLUMBIA ROAD",
"address_2": "UPHAMS CORNER HEALTH CENTER",
"city": "BOSTON",
"state": "MA",
"postal_code": "02125",
"telephone_number": "617-740-8000",
"fax_number": "617-740-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "DIANE",
"middle_name": "GRIFFITHS",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2007-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "NM172899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.