Dana Louise Estevo, CNM
Individual provider Active NPI Advanced Practice Midwife · Fortuna, CA
NPI 1730412941 · NPPES record last updated May 29, 2019
Key facts
- NPI
- 1730412941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 1968 (CA)
- Practice address
- 3309 Renner Dr
Fortuna, CA 95540-3119 - Phone
- (707) 725-6108
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111024000602 | CA | Practitioner - Certified Nurse Midwife (CNM) | 8527106483 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current |
Accepting new patients | |
| Redwood Women'S Center, a Medical Corporation | Current |
Accepting new patients | |
| Shore Health System, Inc | Past | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Past | Accepting new patients |
Locations
3309 Renner Dr
Fortuna, CA 95540
Phone (707) 725-6108
333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113
45 Hazel St
Willits, CA 95490
Phone (707) 456-9600
Interoperability endpoints
- destevo335477@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 1968 | CA | Yes |
Addresses
Primary practice location
3309 Renner Dr
Fortuna, CA 95540-3119
Mailing address
3309 Renner Dr
Fortuna, CA 95540-3119
Phone (707) 725-6108
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058957 | Medicaid | CA |
Other providers in Fortuna, CA
- Eel River Valley Surgical Group
- Kelly Ehrhardt
- Kerisa Sue Elloway
- Courtney Embry
- Gabriel Enriquez
- Katherine Anne Talbert Estlin
- Family Foot Care Specialist Podiatry Center
- Family Foot Care Specialists Podiatry Center Inc
- Neal E Feuerman
- Ana Fernanda Fierro
All providers in Fortuna, CA · Advanced Practice Midwife in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.