Individual provider Active NPI

Lindsay Burgess, CNM

  • Advanced Practice Midwife
  • Greeley, CO
National Provider Identifier
1255740072
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN.0991337-CNM Issued in CO
Practice address
3211 W 20TH St Ste D
Greeley, CO 80634-6566
Phone
(970) 716-1173
NPI assigned
Aug 6, 2014
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APN.0991337-CNM CO Primary
Registered Nurse 163W00000X RN.0183657 CO

Addresses

Primary practice location

3211 W 20TH St Ste D
Greeley, CO 80634-6566

Mailing address

3211 W 20TH St Ste D
Greeley, CO 80634-6566
Phone (970) 716-1173

Other practice location 1

2930 11th Ave
Evans, CO 80620-1011
Phone (970) 350-4606

Other identifiers 1

IdentifierTypeStateIssuer
43535208MedicaidCO

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

State licenses

LicenseStateTypeSpecialty
RN.0183657COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1255740072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 W 20TH ST STE D",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346566",
            "telephone_number": "970-716-1173",
            "fax_number": "972-962-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 W 20TH ST STE D",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346566",
            "telephone_number": "970-716-1173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2930 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "CO",
            "postal_code": "806201011",
            "country_code": "US",
            "telephone_number": "970-350-4606",
            "fax_number": "970-350-4645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "LINDSAY",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0991337-CNM",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0183657",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43535208",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.