Active NPI
Amie Diller, CNM
- Advanced Practice Midwife
- Woodland, CA
National Provider Identifier
1235167164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM1174
- Practice address
- 1207 Fairchild CT
Woodland, CA 95695-4321 - Phone
- (530) 666-1631
- Fax
- (530) 661-2410
- NPI assigned
- Jun 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CNM1174 | CA | Primary |
Addresses
Primary practice location
1207 Fairchild CT
Woodland, CA 95695-4321
Mailing address
2453 Bucklebury Rd
Davis, CA 95616-3089
Phone (530) 750-3760
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8464 | CA | MD | Speech-Language Pathologist |
| CNM1174 | CA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235167164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2453 BUCKLEBURY RD",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163089",
"telephone_number": "530-750-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 FAIRCHILD CT",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956954321",
"telephone_number": "530-666-1631",
"fax_number": "530-661-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLER",
"first_name": "AMIE",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "CNM1174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.