Individual provider Active NPI

Janis Anne Nelson, LM, CPM, RM

  • Midwife
  • Durango, CO
National Provider Identifier
1205027430
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
84100-R Issued in NM
Practice address
755 E 2ND Ave
Durango, CO 81301-5498
Phone
(970) 385-2626
Fax
(970) 375-9053
NPI assigned
Aug 5, 2007
Last updated
Jan 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 84100-R NM Primary

Addresses

Primary practice location

755 E 2ND Ave
Durango, CO 81301-5498

Mailing address

755 E 2ND Ave
Durango, CO 81301-5498
Phone (970) 385-2626

Other names 1

  • Juanita Nelson Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
84100-RNMMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Midwives LLC Midwife Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1205027430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E 2ND AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015498",
            "telephone_number": "970-385-2626",
            "fax_number": "970-375-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E 2ND AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015498",
            "telephone_number": "970-385-2626",
            "fax_number": "970-375-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JANIS",
        "middle_name": "ANNE",
        "credential": "LM, CPM, RM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NM",
            "license": "84100-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUANITA",
            "last_name": "NELSON",
            "credential": "LM, CPM, RM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.