NPIMap

Organization Active NPI

Dar a Luz Birth & Health Center

  • Midwife
  • Los Ranchos, NM
National Provider Identifier
1124281696
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
DAR A LUZ BIRTH & HEALTH CENTER
Practice address
7708 4TH St NW
Los Ranchos, NM 87107-6510
Phone
(505) 924-2229
NPI assigned
Jul 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Abigail L Eaves, CNMNPI 1346273836
Title
Executive Director
Phone
(505) 924-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

7708 4TH St NW
Los Ranchos, NM 87107-6510

Mailing address

7708 4TH St NW
Los Ranchos, NM 87107-6510
Phone (505) 924-2229

Other identifiers 1

IdentifierTypeStateIssuer
63589079MedicaidNM

Other names 1

  • Full Circle Midwifery Birth & Health Center Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2021843Full Circle Midwifery Birth & Health Center7708 4TH Street NW, Albuquerque, NM 87107Provider-performed microscopyMar 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dar a Luz Birth Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7708 4th St NW
Los Ranchos, NM 87107
Phone (505) 924-2229

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1215216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1124281696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 4TH ST NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076510",
            "telephone_number": "505-924-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7708 4TH ST NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076510",
            "telephone_number": "505-924-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAR A LUZ BIRTH & HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-05",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "EAVES",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-924-2229",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63589079",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Midwifery Birth & Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Ranchos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.