Active NPI
Blue Spruce Birth and Wellness LLC
- Advanced Practice Midwife
- Loveland, CO
National Provider Identifier
1124666417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronya Genine Legge Konecny, CNM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000173512 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Advanced Practice Midwife
- Loveland, CO
- NPI 1962961300
-
- Advanced Practice Midwife
- Fort Collins, CO
- NPI 1093308041
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.