Individual provider Active NPI

A'Maya Ettien, LM

  • Midwife
  • Oakland, CA
National Provider Identifier
1144572264
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
512 Issued in CA
Practice address
435 8TH St Ste 304
Oakland, CA 94607-3964
Phone
(915) 497-2530
NPI assigned
Oct 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 512 CA Primary

Addresses

Primary practice location

435 8TH St Ste 304
Oakland, CA 94607-3964

Mailing address

435 8TH St Ste 304
Oakland, CA 94607-3964
Phone (915) 497-2530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1144572264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 8TH ST STE 304",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073964",
            "telephone_number": "915-497-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 8TH ST STE 304",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073964",
            "telephone_number": "915-497-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTIEN",
        "first_name": "A'MAYA",
        "credential": "LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.