Active NPI
Diane M Ortega, C.N.M.
- Advanced Practice Midwife
- Mesa, AZ
National Provider Identifier
1649402827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- TAP3396
- Practice address
- 2045 S Vineyard
Suite 136
Mesa, AZ 85210-6889 - Phone
- (480) 565-5990
- Fax
- (623) 208-7666
- NPI assigned
- Aug 20, 2009
- 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 | TAP3396 | AZ | Primary |
Addresses
Primary practice location
2045 S Vineyard
Suite 136
Mesa, AZ 85210-6889
Mailing address
3660 W Bethany Home Rd
Phoenix, AZ 85019-1953
Phone (602) 973-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250114003332 | AZ | Order and Referring Only - Certified Nurse Midwife (CNM) | 8527455690 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TAP3396 | AZ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Midwife Center for Birth and Wellness Az Central LLC | Advanced Practice Midwife | Current | Accepting new patients |
| Willow Midwife Center for Birth and Wellness Az Central LLC | Current | Accepting new patients | |
| Willow Midwife Center for Birth and Wellness Az, LLC | Past | Accepting new patients | |
| Willow Midwife Center for Birth and Wellness Az | Past | Accepting new patients | |
| Bethany Womens Healthcare | Past | Accepting new patients |
Locations
2045 S Vineyard
Ste 136
Mesa, AZ 85210
Phone (480) 426-9251
1197 E Oak St
Phoenix, AZ 85006
Phone (480) 565-2165
51 E Monterey Way
Phoenix, AZ 85012
Phone (602) 252-5366
Organizations & group practices 5
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.
-
dba Willow AZ Central
- Birthing Clinic/Center
- Phoenix, AZ
- NPI 1790369775
-
- Advanced Practice Midwife
- Phoenix, AZ
- NPI 1891337895
-
- Birthing Clinic/Center
- Mesa, AZ
- NPI 1740642297
-
dba Willow-Mercy Center
- Birthing Clinic/Center
- Gilbert, AZ
- NPI 1770319683
-
- Specialist
- Phoenix, AZ
- NPI 1104863588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1649402827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 W BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850191953",
"telephone_number": "602-973-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 S VINEYARD",
"address_2": "SUITE 136",
"city": "MESA",
"state": "AZ",
"postal_code": "852106889",
"telephone_number": "480-565-5990",
"fax_number": "623-208-7666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "DIANE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "TAP3396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.