Organization Active NPI

Blue Spruce Birth and Wellness LLC

  • Advanced Practice Midwife
  • Loveland, CO
National Provider Identifier
1124666417
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
BLUE SPRUCE BIRTH AND WELLNESS LLC
Practice address
5803 McWhinney Blvd
Loveland, CO 80538-8829
Phone
(970) 699-5990
Fax
(970) 699-5998
NPI assigned
Dec 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Ronya Genine Legge Konecny, CNMNPI 1962961300
Title
CNM/Owner
Phone
(970) 699-5990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

5803 McWhinney Blvd
Loveland, CO 80538-8829

Mailing address

2110 Buffalo Mountain PL
Loveland, CO 80538-8780
Phone (970) 699-5990

Other identifiers 1

IdentifierTypeStateIssuer
9000173512MedicaidCO

National Provider Directory

National Provider Directory

Locations

5803 McWhinney Blvd
Loveland, CO 80538
Phone (970) 218-8273

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1124666417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 BUFFALO MOUNTAIN PL",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388780",
            "telephone_number": "970-699-5990",
            "fax_number": "970-699-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 MCWHINNEY BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388829",
            "telephone_number": "970-699-5990",
            "fax_number": "970-699-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRUCE BIRTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "LEGGE KONECNY",
        "authorized_official_first_name": "RONYA",
        "authorized_official_middle_name": "GENINE",
        "authorized_official_title_or_position": "CNM/OWNER",
        "authorized_official_telephone_number": "970-699-5990",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000173512",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.