Individual provider Active NPI

Eyndia Omega

  • Midwife
  • Santa Fe, NM
National Provider Identifier
1730728478
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
22006R Issued in NM
Practice address
6587 Valentine Way Unit 607
Santa Fe, NM 87507-2491
Phone
(480) 205-3892
NPI assigned
Dec 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 22006R NM Primary

Addresses

Primary practice location

6587 Valentine Way Unit 607
Santa Fe, NM 87507-2491

Mailing address

6587 Valentine Way
Santa Fe, NM 87507-3173
Phone (480) 205-3892

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laveen

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22006RNMMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Breath of My Heart Birthplace Midwife PastSince May 7, 2024 Accepting new patients

Organizations & group practices 1

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": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1730728478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6587 VALENTINE WAY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073173",
            "telephone_number": "480-205-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6587 VALENTINE WAY UNIT 607",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072491",
            "telephone_number": "480-205-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMEGA",
        "first_name": "EYNDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NM",
            "license": "22006R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laveen",
            "affiliation": "N",
            "address_1": "8612 S 57th Dr",
            "city": "Laveen",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853395269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.