Active NPI
Althea Hrdlichka, CPM, LM, RM
- Midwife
- Fort Collins, CO
National Provider Identifier
1255655908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 0000173
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000173 | CO | MD | Midwife |
| 017 | WY | MD | Midwife |
| B14620113 | AZ | MD | Doula |
Practice roles
| Organization | Specialty | Status | New 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.