Julia Ann Black, CNM, RN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

911 Issued in NM

Practice address

1111 Carrizo St NW
Los Lunas, NM 87031-6934

Phone

(575) 654-9631

NPI assigned

Jul 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1760054878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CARRIZO ST NW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316934",
            "telephone_number": "575-654-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CARRIZO ST NW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316934",
            "telephone_number": "575-654-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JULIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CNM, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "56184",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "NM",
            "license": "56184",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracie Betancourt, BMS
• Dana Beyal
• Bio-Medical Applications of New Mexico, Inc.
• Birth With Joy LLC
• BK Sand Hill, LLC
• Millicena D Blanco
• Charles Blocher
• Delisia Bojorquez
• Bold Beginnings Therapy
• Mandy Dianne Bolton

• Advanced Practice Midwife in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Advanced Practice Midwife in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.