Active NPI
Tatjana Amarus Muwwakkil, CNM, WHNP-BC
- Midwife
- Los Angeles, CA
National Provider Identifier
1568162865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- Practice address
- 695 S Santa Fe Ave Apt 611
Los Angeles, CA 90021-1364 - Phone
- (215) 913-9768
- NPI assigned
- Mar 6, 2023
- Last updated
- Mar 6, 2023
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | Primary |
Addresses
Primary practice location
695 S Santa Fe Ave Apt 611
Los Angeles, CA 90021-1364
Mailing address
695 S Santa Fe Ave Apt 611
Los Angeles, CA 90021-1364
Phone (215) 913-9768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
777 Lawndres Hill Rd
Greenville, SC 29607-2101
777 Lowndes Hill Rd
BLDG 1
Greenville, SC 29607-2131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1568162865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 S SANTA FE AVE APT 611",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900211364",
"telephone_number": "215-913-9768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 S SANTA FE AVE APT 611",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900211364",
"telephone_number": "215-913-9768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUWWAKKIL",
"first_name": "TATJANA",
"middle_name": "AMARUS",
"credential": "CNM, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.