NPIMap

Organization Active NPI

Willow Midwife Center for Birth and Wellness Az, LLC

  • Birthing Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1013694058
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLC
Practice address
1197 E Oak St
Phoenix, AZ 85006-1662
Phone
(480) 565-2165
NPI assigned
Jun 30, 2023
Organization subpart
Yes
Parent organization
WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Dr. Diane M Ortega, DNP, CNM
Title
Ceo
Phone
(480) 565-5990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

1197 E Oak St
Phoenix, AZ 85006-1662

Mailing address

2045 S Vineyard Ste 136
Mesa, AZ 85210-6891
Phone (480) 565-5990

Other names 1

  • Willow Central Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Willow Midwife Center for Birth and Wellness Az LLC4 organizations share this tax ID, including this one
Part of
Willow Midwife Center for Birth and Wellness Az LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1013694058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 136",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106891",
            "telephone_number": "480-565-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 E OAK ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061662",
            "telephone_number": "480-565-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLC",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-565-5990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CNM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Central",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.