Individual provider Active NPI

Diana Carolina Reyes, C.P.M, L.M

  • Lay Midwife
  • Tucson, AZ
National Provider Identifier
1558750208
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
License
5571698 Issued in ID
Practice address
3820 S 3Rd Ave
Tucson, AZ 85714-1522
Phone
(505) 489-1482
NPI assigned
Jan 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lay MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 175M00000X 5571698 ID Primary

Addresses

Primary practice location

3820 S 3Rd Ave
Tucson, AZ 85714-1522

Mailing address

304 12TH Ave Rd
Nampa, ID 83686-5015
Phone (505) 489-1482

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

State licenses

LicenseStateTypeSpecialty
LM193AZMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1558750208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865015",
            "telephone_number": "505-489-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 S 3RD AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141522",
            "telephone_number": "505-489-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "DIANA",
        "middle_name": "CAROLINA",
        "credential": "C.P.M, L.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife, Lay",
            "state": "ID",
            "license": "5571698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.