Active NPI
Olivia Dianne Delavega, MSN, CNM
- Advanced Practice Midwife
- Rockwall, TX
National Provider Identifier
1366038770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 1021158
- Practice address
- 506 Summit Cir
Rockwall, TX 75032-8962 - Phone
- (214) 460-6575
- NPI assigned
- Dec 19, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 1021158 | TX | |
| Advanced Practice Midwife | 367A00000X | 1021158 | TX | Primary |
Addresses
Primary practice location
506 Summit Cir
Rockwall, TX 75032-8962
Mailing address
506 Summit Cir
Rockwall, TX 75032-8962
Phone (214) 460-6575
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, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1021158 | TX | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1366038770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 SUMMIT CIR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750328962",
"telephone_number": "214-460-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 SUMMIT CIR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750328962",
"telephone_number": "214-460-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAVEGA",
"first_name": "OLIVIA",
"middle_name": "DIANNE",
"name_prefix": "Mrs.",
"credential": "MSN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-19",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TX",
"license": "1021158",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "1021158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.