Organization Active NPI

Willow Midwife Center for Birth and Wellness Az Central LLC

  • Advanced Practice Midwife
  • Phoenix, AZ
National Provider Identifier
1891337895
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ CENTRAL LLC
Practice address
1197 E Oak St
Phoenix, AZ 85006-1662
Phone
(480) 565-5990
NPI assigned
Oct 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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-Owner
Phone
(480) 565-5944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

1197 E Oak St
Phoenix, AZ 85006-1662

Mailing address

2045 S Vineyard Ste 136
Mesa, AZ 85210-6891

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherN/A

Other names 1

  • Willow AZ Central Midwives Other name

National Provider Directory

National Provider Directory
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.

Locations

1197 E Oak St
Phoenix, AZ 85006
Phone (480) 565-2165

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1891337895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 136",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106891"
        },
        {
            "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": "480-565-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ CENTRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "480-565-5944",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow AZ Central Midwives",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.