Individual provider Active NPI

Eliza Serna, CNM

  • Advanced Practice Midwife
  • Los Ranchos, NM
National Provider Identifier
1245910892
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
860 Issued in NM
Practice address
7708 4TH St NW
Los Ranchos, NM 87107-6510
Phone
(505) 924-2229
Fax
(505) 554-3673
NPI assigned
Jul 19, 2023
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 860 NM 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

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
860NMMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Rain Midwifery, LLC Advanced Practice Midwife Current Accepting new patients
Dar a Luz Birth & Health Center PastSince Jul 23, 2023 Accepting new patients
Dar a Luz Birth & Health Center PastSince Jul 23, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1245910892",
    "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",
            "fax_number": "505-554-3673"
        },
        {
            "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",
            "fax_number": "505-554-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERNA",
        "first_name": "ELIZA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 19, 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.