Jacqueline Ann Lynch, CPM, RM
Individual provider Active NPI Midwife · Henderson, CO
NPI 1083036982 · NPPES record last updated Oct 8, 2018
Key facts
- NPI
- 1083036982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- MWR.0000162 (CO)
- Practice address
- 9450 Monaco St
Henderson, CO 80640 - Phone
- (720) 724-7664
- NPI assigned
- Jan 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MWR.0000162 | CO | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MWR.0000162 | CO | Yes |
Addresses
Primary practice location
9450 Monaco St
Henderson, CO 80640
Mailing address
PO Box 2064
Boulder, CO 80306-2064
Phone (720) 724-7446
Other practice location 1
2831 Caribou Rd.
Nederland, CO 80466
Phone (720) 724-7446
Other providers in Henderson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.