Individual provider Active NPI

Althea Hrdlichka, CPM, LM, RM

  • Midwife
  • Fort Collins, CO
National Provider Identifier
1255655908
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
0000173 Issued in CO
Practice address
1817 Jessup Dr
Fort Collins, CO 80525-2550
Phone
(866) 218-5769
Fax
(866) 218-5769
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 017 WY
Doula 374J00000X B14620113 AZ
Midwife 176B00000X 0000173 CO Primary

Addresses

Primary practice location

1817 Jessup Dr
Fort Collins, CO 80525-2550

Mailing address

1817 Jessup Dr
Fort Collins, CO 80525-2550
Phone (866) 218-5769

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://tendergiftsmidwiferyandbirthcenter.com/ Direct

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
0000173COMDMidwife
017WYMDMidwife
B14620113AZMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Valley Birth Center LLC Midwife Current Accepting new patients

Locations

1817 Jessup Dr
Fort Collins, CO 80525
Phone (866) 218-5769

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1255655908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 JESSUP DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252550",
            "telephone_number": "866-218-5769",
            "fax_number": "866-218-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 JESSUP DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252550",
            "telephone_number": "866-218-5769",
            "fax_number": "866-218-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRDLICHKA",
        "first_name": "ALTHEA",
        "name_prefix": "Mrs.",
        "credential": "CPM, LM, RM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WY",
            "license": "017",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "AZ",
            "license": "B14620113",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CO",
            "license": "0000173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://tendergiftsmidwiferyandbirthcenter.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1817 Jessup Dr",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805252550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.