Active NPI
Maribeth Diver, CNM
- Advanced Practice Midwife
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP1723
- Practice address
- 215 E Lexington Ave
Phoenix, AZ 85012-2321 - Phone
- (602) 314-7755
- Fax
- (602) 314-7756
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
AZ
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1073576740
AZ
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Surgery Physician
- Phoenix, AZ
- NPI 1619200722
-
- Adult Mental Health Clinic/Center
- Avondale, AZ
- NPI 1043679327
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1306265145
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1295968162
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1295154045
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220428000723 | AZ | Practitioner - Certified Nurse Midwife (CNM) | 4284021916 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW010045 | PA | MD | Midwife |
| AP1723 | AZ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| Maricopa County Special Health Care District | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Maricopa County Special Health Care District | Current | Accepting new patients | |
| Maricopa County Special Health Care District | Current | Accepting new patients | |
| Maricopa County Special Health Care District | Past | Accepting new patients | |
| District Medical Group, Inc | Past | Accepting new patients |
Locations
8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000
2525 E Roosevelt St
Fl 2
Phoenix, AZ 85008
2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
Interoperability endpoints
- mdiver241903@direct.valleywisehealth.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW010045 | PA | |
| Advanced Practice Midwife | 367A00000X | AP1723 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
215 E Lexington Ave
Phoenix, AZ 85012-2321
Mailing address
215 E Lexington Ave
Phoenix, AZ 85012-2321
Phone (602) 314-7755
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01949426 | Medicaid | PA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2016.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1679565485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E LEXINGTON AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122321",
"telephone_number": "602-314-7755",
"fax_number": "602-314-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E LEXINGTON AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122321",
"telephone_number": "602-314-7755",
"fax_number": "602-314-7756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVER",
"first_name": "MARIBETH",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "PA",
"license": "MW010045",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "AP1723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01949426",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- District Medical Group, Inc
- District Medical Group, Inc
- Ditabell Behavioral Health Care LLC
- Michael James Ditsworth, APRN, FNP-C
- Sheeba Kalappurakkal Divakaran, NP
- Divergent Collective, Inc.
- Caitlin Kelsey Divers, ATC
- Diverse Ability Incorporated
- Divine Anesthesia Care LLC
- Divine Care Family Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.