Individual provider Active NPI

Jennifer Y Fields, CNM

  • Advanced Practice Midwife
  • Chinle, AZ
National Provider Identifier
1720021215
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
200050096NP Issued in OR
Practice address
Chinle Service Unit IHS
Highway 191 and Hospital Road
Chinle, AZ 86503
Phone
(928) 674-7043
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 124408 CO
Advanced Practice Midwife 367A00000X 200050096NP OR Primary

Addresses

Primary practice location

Chinle Service Unit IHS
Highway 191 and Hospital Road
Chinle, AZ 86503

Mailing address

PO Box PH
Chinle, AZ 86503-8000
Phone (928) 674-7001

Other identifiers 1

IdentifierTypeStateIssuer
60153326MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041214000779 CO Practitioner - Certified Nurse Midwife (CNM) 2567429244 Reassigns benefits to 3 organizations
I20241213000521 TX Practitioner - Certified Nurse Midwife (CNM) 2567429244 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
124408COMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Nov 4, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 9, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Healthone Clinic Services - Obstetrics and Gynecology LLC Advanced Practice Midwife CurrentSince Apr 11, 2012 Accepting new patients
Saint Joseph Hospital, Inc Current Accepting new patients
Saint Joseph Hospital, Inc CurrentSince Nov 1, 2004 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 9, 2020 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Nov 4, 2024 Accepting new patients
Saint Joseph Hospital Inc CurrentSince Nov 1, 2004 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Santiam Memorial Hospital Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 6300
Broomfield, CO 80021
Phone (303) 272-0803

4545 E 9th Ave
Ste 502
Denver, CO 80220
Phone (303) 320-2944

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1400 S Potomac St
Ste 225
Denver, CO 80012
Phone (303) 563-2782

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

1960 N Ogden St
Ste 320
Denver, CO 80218
Phone (303) 318-2620

4900 S Monaco St
Ste 210
Denver, CO 80237

Interoperability endpoints

  • Direct secure messaging: jennifer.fields.1@24370.direct.athenahealth.com
  • Direct secure messaging: jfields87286@direct.intermountainhealth.org

Organizations & group practices 11

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1720021215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX PH",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "865038000",
            "telephone_number": "928-674-7001",
            "fax_number": "303-320-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHINLE SERVICE UNIT IHS",
            "address_2": "HIGHWAY 191 AND HOSPITAL ROAD",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "86503",
            "telephone_number": "928-674-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "JENNIFER",
        "middle_name": "Y",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "124408",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "200050096NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60153326",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chinle, AZ

Sources for this page

Verify at the official NPI Registry.