Willow Midwife Center for Birth and Wellness Az Central LLC

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ CENTRAL LLC

Doing business as

Willow AZ Central

Practice address

1197 E Oak St
Phoenix, AZ 85006-1662

Phone

(480) 565-2165

NPI assigned

May 6, 2021

Last updated

May 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane Ortega, CNMNPI 1649402827

Title

Co-Ownrer

Phone

(480) 565-5944

Specialties & licenses 1

Addresses

Other names 1

• Willow AZ Central Doing business as

Tax ID family

Willow Az Central2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Willow Midwife Center for Birth and Wellness Az Central LLC

  • Advanced Practice Midwife
  • Phoenix, AZ
  • NPI 1891337895
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane M Ortega, C.N.M.

  • Advanced Practice Midwife
  • Mesa, AZ
  • NPI 1649402827
  NPD Authorized official

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1790369775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E MONTEREY WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122616",
            "telephone_number": "480-565-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 E OAK ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061662",
            "telephone_number": "480-565-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ CENTRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CO-OWNRER",
        "authorized_official_telephone_number": "480-565-5944",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow AZ Central",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aliesha Janiece Willoughby
• Emma Willoughby, NP
• Willow & Sprig
• Willow ABA Services
• Willow and Ivy Counseling Services, PLLC (Willow and Ivy Counseling)
• Willow Midwife Center for Birth and Wellness Az Central LLC
• Willow Midwife Center for Birth and Wellness Az, LLC (Willow Central)
• Willpower Medical Transportation LLC
• Corey Wills
• Patricia Wills, RN

• Birthing Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Birthing Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.