Active NPI
Diana Carolina Reyes, C.P.M, L.M
- Lay Midwife
- Tucson, AZ
National Provider Identifier
1558750208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lay Midwife
- License
- 5571698
- 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
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 |
|---|---|---|---|---|
| Lay Midwife | 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
| License | State | Type | Specialty |
|---|---|---|---|
| LM193 | AZ | MD | Midwife |
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.