Individual provider Active NPI

Diane M Ortega, C.N.M.

  • Advanced Practice Midwife
  • Mesa, AZ
National Provider Identifier
1649402827
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
TAP3396 Issued in AZ
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

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
TAP3396AZMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Sep 15, 2024 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.

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

Verify at the official NPI Registry.