Active NPI
Amy M Wallace, CNM
- Advanced Practice Midwife
- Wheat Ridge, CO
National Provider Identifier
1073540175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 101447
- Practice address
- 7777 W 38TH Ave
Suite 130
Wheat Ridge, CO 80033-6168 - Phone
- (720) 418-8182
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 101447 | CO | Primary |
Addresses
Primary practice location
7777 W 38TH Ave
Suite 130
Wheat Ridge, CO 80033-6168
Mailing address
590 New Waverly PL
210
Cary, NC 27518-7407
Phone (720) 418-8186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07014475 | Medicaid | CO |
Other names 1
- Amy M Shearer
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101447 | CO | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baby and Co LLC | Advanced Practice Midwife | Past | Accepting new patients |
| Baby and Co LLC | Advanced Practice Midwife | Past | Accepting new patients |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Interoperability endpoints
- amy.wallace.1@24370.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1073540175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 NEW WAVERLY PL",
"address_2": "210",
"city": "CARY",
"state": "NC",
"postal_code": "275187407",
"telephone_number": "720-418-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 W 38TH AVE",
"address_2": "SUITE 130",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336168",
"telephone_number": "720-418-8182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "AMY",
"middle_name": "M",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CO",
"license": "101447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07014475",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "SHEARER",
"middle_name": "M",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.