Individual provider Active NPI

Cristina Diaz, CNM

  • Advanced Practice Midwife
  • Mesa, AZ
National Provider Identifier
1073089108
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
218219 Issued in AZ
Practice address
1142 E Southern Ave
Mesa, AZ 85204-5055
Phone
(480) 782-7381
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 218219 AZ
Advanced Practice Midwife 367A00000X 218219 AZ Primary

Addresses

Primary practice location

1142 E Southern Ave
Mesa, AZ 85204-5055

Mailing address

22355 E Via de Olivos
Queen Creek, AZ 85142-4832
Phone (480) 469-5775

Other practice location 1

500 W Thomas Rd
Ste 720&Ste 730
Phoenix, AZ 85013
Phone (602) 406-3715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190327000688 AZ Practitioner - Certified Nurse Midwife (CNM) 7214277334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

1950 W Frye Rd
Suite B
Chandler, AZ 85224-6255
Phone (480) 895-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
218219AZMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Pathology Current Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince Jun 1, 2024 Accepting new patients
Arizona OB GYN Affiliates PC CurrentSince Jul 5, 2023 Accepting new patients
Arizona OB/GYN Affiliates PC Past Accepting new patients
Robert S. Gerson MD PC Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1187 E Cottonwood Ln
Ste B
Casa Grande, AZ 85122
Phone (520) 836-1000

1950 W Frye Rd
Bldg B
Chandler, AZ 85224

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1757 E Melrose St
Gilbert, AZ 85297

21300 N John Wayne Pkwy
Ste 121
Maricopa, AZ 85139
Phone (520) 494-7045

500 W Thomas Rd
Ste 730
Phoenix, AZ 85013
Phone (602) 264-1771

500 W Thomas Rd
Ste 720
Phoenix, AZ 85013
Phone (602) 406-3715

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

9930 W Indian School Rd
Phoenix, AZ 85037
Phone (623) 846-7558

500 W Thomas Rd
Ste 700
Phoenix, AZ 85013
Phone (602) 406-4758

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

1661 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 265-5954

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

4545 E Chandler Blvd
Ste 208
Phoenix, AZ 85048
Phone (480) 961-2330

21240 E Ocotillo Rd
Ste 103
Queen Creek, AZ 85142

22711 S Ellsworth Rd
Ste 104
Queen Creek, AZ 85142
Phone (480) 782-0993

1840 E Baseline Rd
Ste A3
Tempe, AZ 85283
Phone (480) 618-1342

File 56765
Los Angeles, CA 90074

Interoperability endpoints

  • Direct secure messaging: cristina.diaz.1@14294.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14294/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1073089108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22355 E VIA DE OLIVOS",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424832",
            "telephone_number": "480-469-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045055",
            "telephone_number": "480-782-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Thomas Rd",
            "address_2": "Ste 720&Ste 730",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85013",
            "country_code": "US",
            "telephone_number": "602-406-3715",
            "fax_number": "602-406-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CRISTINA",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": "218219",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "218219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.