Heather K Boucher, RN CNM
Individual provider Active NPI Advanced Practice Midwife · Frisco, CO
NPI 1154488070 · NPPES record last updated May 10, 2016
Key facts
- NPI
- 1154488070
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- APN.0004757-CNM (CO)
- Practice address
- 360 Peak One Drive
Suite 260
Frisco, CO 80443 - Phone
- (970) 668-5771
- Fax
- (970) 262-2196
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0004757-CNM | CO | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Health Care PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Inpatient Obstetric Registered Nurse | 163WX0003X | 128964 | CO | |
| Advanced Practice Midwife | 367A00000X | APN.0004757-CNM | CO | Yes |
Addresses
Primary practice location
360 Peak One Drive
Suite 260
Frisco, CO 80443
Mailing address
360 Peak One Dr
Frisco, CO 80443
Phone (970) 668-5771
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128964 | Other | CO | COLORADO STATE LICENSE |
Other providers in Frisco, CO
- Amy Nichole Blanks
- Blue River Oral Surgery
- Sarah Bollwitt
- Kelly Jo Boner
- Boondoctor LLC
- Annie M. Bowen
- Khristian Brace
- Braden Partners LP
- Anne Elizabeth Bradshaw Watts
- Brandon Brashier
All providers in Frisco, CO · Advanced Practice Midwife in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2016. 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.