Individual provider Active NPI

Marjorie J Morris Lundgren, CNM

  • Advanced Practice Midwife
  • Colorado Springs, CO
National Provider Identifier
1215925284
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1827 Issued in CO
Practice address
6071 E Woodmen Rd Ste 405
Colorado Springs, CO 80923-2614
Phone
(719) 442-0808
Fax
(719) 622-3400
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1827 CO Primary

Addresses

Primary practice location

6071 E Woodmen Rd Ste 405
Colorado Springs, CO 80923-2614

Mailing address

6071 E Woodmen Rd
Ste 405
Colorado Springs, CO 80923-2614
Phone (303) 873-5245

Other identifiers 1

IdentifierTypeStateIssuer
07781487MedicaidCO

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215925284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD",
            "address_2": "STE 405",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232614",
            "telephone_number": "303-873-5245",
            "fax_number": "303-873-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD STE 405",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232614",
            "telephone_number": "719-442-0808",
            "fax_number": "719-622-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS LUNDGREN",
        "first_name": "MARJORIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "1827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07781487",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.