Active NPI
Willow Midwife Center for Birth and Wellness Az Central LLC
- Advanced Practice Midwife
- Phoenix, AZ
National Provider Identifier
1891337895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Ortega, CNM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Advanced Practice Midwife | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | N/A |
Other names 1
- Willow AZ Central Midwives
National Provider Directory
National Provider Directory- Tax ID family
- Willow Az Central
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Birthing Clinic/Center
- Phoenix, AZ
- NPI 1790369775
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.
-
- Advanced Practice Midwife
- Mesa, AZ
- NPI 1649402827
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.