Active NPI
Lorena Patricia Cavazos, C.N.M.
- Advanced Practice Midwife
- Phoenix, AZ
National Provider Identifier
1043476591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN154011
- Practice address
- 635 E. Baseline Rd.
Phoenix, AZ 85042 - Phone
- (602) 243-7277
- Fax
- (602) 243-1235
- NPI assigned
- Aug 4, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | AZ | ||
| Advanced Practice Midwife | 367A00000X | RN154011/ AP3126 | AZ | |
| Advanced Practice Midwife | 367A00000X | RN154011 | AZ | Primary |
Addresses
Primary practice location
635 E. Baseline Rd.
Phoenix, AZ 85042
Mailing address
2702 N. 3Rd St.
Ste. 4020
Phoenix, AZ 85004-1130
Phone (602) 323-3242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230823000632 | TX | Practitioner - Nurse Practitioner | 3274688130 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN154011 | AZ | MD | Advanced Practice Midwife |
| RN154011/ AP3126 | AZ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Park Health Center - Dental | Past | Accepting new patients | |
| Today Clinic Texas PLLC | Past | Accepting new patients | |
| Mountain Park Health Center | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1669878567
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1710146188
-
- Primary Care Clinic/Center
- Lewisville, TX
- NPI 1033583984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1043476591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 N. 3RD ST.",
"address_2": "STE. 4020",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041130",
"telephone_number": "602-323-3242",
"fax_number": "602-323-3496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 E. BASELINE RD.",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85042",
"telephone_number": "602-243-7277",
"fax_number": "602-243-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVAZOS",
"first_name": "LORENA",
"middle_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "RN154011/ AP3126",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "RN154011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 1, 2009; 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.