Ruth Anita Anson, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

4704147153 Issued in MI

Practice address

16326 Watersedge Dr
Vicksburg, MI 49097-9796

Phone

(269) 999-9999

NPI assigned

Nov 15, 2005

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

• Ruth Anita Devisser Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 12, 2024.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1790767804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16326 WATERSEDGE DR",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490979796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16326 WATERSEDGE DR",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490979796",
            "telephone_number": "269-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSON",
        "first_name": "RUTH",
        "middle_name": "ANITA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704147153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4102359-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-WOMENS HEALTH",
            "identifier": "700G560080",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP-THREE RIVERS HEALTH",
            "identifier": "700G560080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "DEVISSER",
            "middle_name": "ANITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Vicksburg, MI
• Advanced Practice Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.