Active NPI
Martha E Merrill-Hall, CNM
- Advanced Practice Midwife
- Denver, CO
National Provider Identifier
1164411906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 51684
- Practice address
- 1960 Ogden St
Suite320
Denver, CO 80218-3666 - Phone
- (303) 318-2620
- Fax
- (303) 318-2629
- NPI assigned
- Oct 14, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 235953 | CA | |
| Advanced Practice Midwife | 367A00000X | 51684 | CO | Primary |
Addresses
Primary practice location
1960 Ogden St
Suite320
Denver, CO 80218-3666
Mailing address
500 Eldorado Blvd
Suite 6250
Broomfield, CO 80021-3408
Phone (303) 272-0751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7516842 | Medicaid | CO |
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 |
|---|---|---|---|
| 235953 | CA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1164411906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ELDORADO BLVD",
"address_2": "SUITE 6250",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800213408",
"telephone_number": "303-272-0751",
"fax_number": "303-318-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 OGDEN ST",
"address_2": "SUITE320",
"city": "DENVER",
"state": "CO",
"postal_code": "802183666",
"telephone_number": "303-318-2620",
"fax_number": "303-318-2629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL-HALL",
"first_name": "MARTHA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "235953",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CO",
"license": "51684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7516842",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.