Individual provider Active NPI

Lorraine Higbie Fairmont, CNM, MSN, CLC

  • Advanced Practice Midwife
  • Boulder, CO
National Provider Identifier
1053760017
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN0001167-CNM Issued in CO
Practice address
5277 Manhattan Cir
#102
Boulder, CO 80303-8201
Phone
(303) 817-6615
Fax
(303) 447-0859
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 83839 CO
Advanced Practice Midwife 367A00000X APN0001167-CNM CO Primary

Addresses

Primary practice location

5277 Manhattan Cir
#102
Boulder, CO 80303-8201

Mailing address

5277 Manhattan Cir
#102
Boulder, CO 80303-8201
Phone (303) 817-6615

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

LicenseStateTypeSpecialty
83839COMDRegistered Nurse
APN0001167-CNMCOMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1053760017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5277 MANHATTAN CIR",
            "address_2": "#102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803038201",
            "telephone_number": "303-817-6615",
            "fax_number": "303-447-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 MANHATTAN CIR",
            "address_2": "#102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803038201",
            "telephone_number": "303-817-6615",
            "fax_number": "303-447-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRMONT",
        "first_name": "LORRAINE",
        "middle_name": "HIGBIE",
        "name_prefix": "Mrs.",
        "credential": "CNM, MSN, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "83839",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN0001167-CNM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.