Active NPI
Mary Beth Spinos, PNNP, CNM, MSN
- Perinatal Nurse Practitioner
- Longmont, CO
National Provider Identifier
1255361341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perinatal Nurse Practitioner
- License
- 87837
- Practice address
- 2030 Mountain View Ave Ste 400
Longmont, CO 80501-3182 - Phone
- (720) 652-8730
- Fax
- (720) 652-8729
- NPI assigned
- Jul 4, 2006
- 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 | 87837 | CO | |
| Perinatal Nurse Practitioner | 363LP1700X | 87837 | CO | Primary |
Addresses
Primary practice location
2030 Mountain View Ave Ste 400
Longmont, CO 80501-3182
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other practice location 1
1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-9722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000154317 | 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, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87837 | CO | MD | Perinatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrix Medical Group of Phoenix PC | Advanced Practice Midwife | Past | Accepting new patients |
| Obstetrix Medical Group of Phoenix PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Cardiology Physician
- Phoenix, AZ
- NPI 1346269594
-
- Neonatal-Perinatal Medicine Physician
- Mesa, AZ
- NPI 1407957152
Advanced Practice Midwife
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1255361341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 800022",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641800022",
"telephone_number": "800-953-0104",
"fax_number": "303-765-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 MOUNTAIN VIEW AVE STE 400",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013182",
"telephone_number": "720-652-8730",
"fax_number": "720-652-8729"
}
],
"practiceLocations": [
{
"address_1": "1400 E Boulder St",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809095533",
"country_code": "US",
"telephone_number": "719-365-9722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPINOS",
"first_name": "MARY",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "PNNP, CNM, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CO",
"license": "87837",
"primary": false
},
{
"code": "363LP1700X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Perinatal",
"state": "CO",
"license": "87837",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000154317",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.