Jessica Coleman Radmall, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

AP11704 Issued in AZ

Practice address

2152 S Vineyard Ste 138
Mesa, AZ 85210-6882

Phone

(480) 539-6646

Fax

(480) 539-6696

NPI assigned

Sep 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jessica Radmall Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4

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.

• Center for True Harmony Wellness & Medicine PC

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  • Mesa, AZ
  • NPI 1972614592
  NPD
• Valley Perinatal Services, LLC

  • Maternal & Fetal Medicine Physician
  • Chandler, AZ
  • NPI 1174866743

  Advanced Practice Midwife

  NPD (past)

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1962985747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 OAKHOLLOW CT",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840103360",
            "telephone_number": "180-183-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 S VINEYARD STE 138",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106882",
            "telephone_number": "480-539-6646",
            "fax_number": "480-539-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADMALL",
        "first_name": "JESSICA",
        "middle_name": "COLEMAN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "AP11704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF NURSING- CNM LICENSE",
            "identifier": "AP11704",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RADMALL",
            "credential": "CNM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Aaron Samuel Rabinowitz, MD
• Addison Marie Rackham, RBT
• Candace Grace Raczkowski, PT
• Aaron Radecki
• Krysta Danielle Rader, LMSW
• Raffy a Safarian MD PC
• Sherrona Lynn Rago, D.C.
• Raha LLC
• Kathleen M Raife, NP
• Rubina Raja, M.D.

• Advanced Practice Midwife in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Advanced Practice Midwife in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.