Individual provider Active NPI

Colleen O'Connell Williams, CNM

  • Advanced Practice Midwife
  • Durango, CO
National Provider Identifier
1194487223
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN.0996859-CNM Issued in CO
Practice address
1 Mercado St Ste 145
Durango, CO 81301-7311
Phone
(970) 247-5543
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APN.0996859-CNM CO Primary

Addresses

Primary practice location

1 Mercado St Ste 145
Durango, CO 81301-7311

Mailing address

1 Mercado St Ste 145
Durango, CO 81301-7311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201003053 MA Practitioner - Certified Nurse Midwife (CNM) 1951754357 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APN.0996859-CNMCOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Health OBGYN, LLC. CurrentSince Jan 17, 2024 Accepting new patients
LGH Medical Group, Inc. CurrentSince Dec 15, 2023 Accepting new patients
Cape Cod Hospital Inc Current Accepting new patients
Southwest Midwives, Inc PastSince Oct 10, 2021 Accepting new patients
LGH Womanhealth Past Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

20 Research Pl
Ste 320
North Chelmsford, MA 01863
Phone (978) 256-1858

Interoperability endpoints

  • Direct secure messaging: cwilliams107207@tuftsmedicine.direct-ci.com
  • Direct secure messaging: cwilliams52818@direct.capecodhealthcare.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1194487223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST STE 145",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST STE 145",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017311",
            "telephone_number": "970-247-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "COLLEEN",
        "middle_name": "O'CONNELL",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0996859-CNM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.