Active NPI
Tiffany Jorgenson, MSN, CNM
- Advanced Practice Midwife
- Colo SPGS, CO
National Provider Identifier
1043600992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APN.0991575
- Practice address
- 3803 Manchester St
Colo SPGS, CO 80907-4828 - Phone
- (719) 428-5552
- Fax
- (719) 687-9519
- NPI assigned
- Jan 30, 2015
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APN.0991575 | CO | Primary |
Addresses
Primary practice location
3803 Manchester St
Colo SPGS, CO 80907-4828
Mailing address
PO Box 7875
Colorado Springs, CO 80933-7875
Phone (719) 306-2140
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, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0991575 | CO | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Miracles Midwifery, Inc. | Advanced Practice Midwife | Current | Accepting new patients |
Locations
6180 Lehman Dr
Ste 103
Colorado Springs, CO 80918
Phone (719) 291-6704
Organizations & group practices 1
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.
-
- Advanced Practice Midwife
- Colorado Springs, CO
- NPI 1003206954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1043600992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7875",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809337875",
"telephone_number": "719-306-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3803 MANCHESTER ST",
"city": "COLO SPGS",
"state": "CO",
"postal_code": "809074828",
"telephone_number": "719-428-5552",
"fax_number": "719-687-9519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSON",
"first_name": "TIFFANY",
"credential": "MSN, CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-30",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CO",
"license": "APN.0991575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colo SPGS, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.