Active NPI
Jennifer Liana, CNM, RN
- Advanced Practice Midwife
- Ukiah, CA
National Provider Identifier
1497825442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 704861
- Practice address
- 333 Laws Ave
Ukiah, CA 95482-6540 - Phone
- (707) 468-1010
- Fax
- (707) 468-7958
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 1, 2011
- 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 | 704861 | TX | Primary |
Addresses
Primary practice location
333 Laws Ave
Ukiah, CA 95482-6540
Mailing address
143B Gibson St
Ukiah, CA 95482-3940
Phone (732) 539-5288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 704861 | Other | TX | NURSE MIDWIFE |
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 704861 | TX | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309478400000",
"number": "1497825442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143B GIBSON ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823940",
"telephone_number": "732-539-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 LAWS AVE",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826540",
"telephone_number": "707-468-1010",
"fax_number": "707-468-7958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIANA",
"first_name": "JENNIFER",
"credential": "CNM, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2011-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "704861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE MIDWIFE",
"identifier": "704861",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.