Individual provider Active NPI

Makayla Rae De Jong, APRN, CNM

  • Advanced Practice Midwife
  • El Paso, TX
National Provider Identifier
1962375295
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1214033 Issued in TX
Practice address
1411 Montana Ave
El Paso, TX 79902-5617
Phone
(915) 544-9600
NPI assigned
Sep 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1214033 TX
Advanced Practice Midwife 367A00000X 1214033 TX Primary
Advanced Practice Midwife 367A00000X 924 NM

Addresses

Primary practice location

1411 Montana Ave
El Paso, TX 79902-5617

Mailing address

2003 Arizona Ave
El Paso, TX 79930-1001
Phone (915) 544-9600

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
924NMMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Star Southwest LLC CurrentSince Sep 28, 2025 Accepting new patients
Guiding Star Southwest LLC CurrentSince Sep 28, 2025 Accepting new patients

Locations

1411 Montana Ave
El Paso, TX 79902
Phone (915) 532-5895

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1962375295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 ARIZONA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799301001",
            "telephone_number": "915-544-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025617",
            "telephone_number": "915-544-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JONG",
        "first_name": "MAKAYLA",
        "middle_name": "RAE",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1214033",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1214033",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.