Active NPI
Tigist T Ejeta, MIDWIFE
- Midwife
- Tucson, AZ
National Provider Identifier
1922601004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM240
- Practice address
- 3111 E 4TH St Apt 152
Tucson, AZ 85716-4528 - Phone
- (574) 220-7034
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | LM240 | AZ | Primary |
Addresses
Primary practice location
3111 E 4TH St Apt 152
Tucson, AZ 85716-4528
Mailing address
3111 E 4TH St Apt 152
Tucson, AZ 85716-4528
Phone (574) 220-7034
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
| License | State | Type | Specialty |
|---|---|---|---|
| LM240 | AZ | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1922601004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 E 4TH ST APT 152",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857164528",
"telephone_number": "574-220-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 E 4TH ST APT 152",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857164528",
"telephone_number": "574-220-7034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EJETA",
"first_name": "TIGIST",
"middle_name": "T",
"credential": "MIDWIFE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AZ",
"license": "LM240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.