Individual provider Active NPI

Maribeth Diver, CNM

  • Advanced Practice Midwife
  • Phoenix, AZ
National Provider Identifier
1679565485
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP1723 Issued in AZ
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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MW010045PAMDMidwife
AP1723AZMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince May 1, 2022 Accepting new patients
Maricopa County Special Health Care District CurrentSince May 16, 2022 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince May 1, 2022 Accepting new patients
Maricopa County Special Health Care District Current Accepting new patients
Maricopa County Special Health Care District CurrentSince May 16, 2022 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

  • Direct secure messaging: mdiver241903@direct.valleywisehealth.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW010045 PA
Advanced Practice Midwife 367A00000X AP1723 AZ Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
01949426MedicaidPA

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

Sources for this page

Verify at the official NPI Registry.