Jillian De Moya, CNM, APRN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

CNM07273 Issued in MN

Practice address

2606 Chicago Ave
Minneapolis, MN 55407-3706

Phone

(612) 545-5311

Fax

(612) 224-9622

NPI assigned

Jan 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jdemoya834905@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minnesota Birth Center Inc.

  • Birthing Clinic/Center
  • Minneapolis, MN
  • NPI 1194056994
  NPD (past)

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1386395382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073706",
            "telephone_number": "612-545-5311",
            "fax_number": "612-224-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 Smith Ave S",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551072620",
            "country_code": "US",
            "telephone_number": "651-689-3988",
            "fax_number": "612-224-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE MOYA",
        "first_name": "JILLIAN",
        "credential": "CNM, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "CNM07273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ryan De la Rosa, MD
• Kelly De Leon Bran, LICSW
• Merry Ann De Leon, MD
• Celeste Marie De Los Santos, CNM
• Leni De Mik, PHD
• Ana Catarina De Oliveira Virgens Paim, M.D.
• Edoardo Filippo De Queiroz Vattimo, MD, PHD
• Maryann Burke De Ruiter, PT
• Erica De Vries, PA-C
• Deaf & Immigrant Center for Education

• Advanced Practice Midwife in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Advanced Practice Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.