Individual provider Active NPI

Kathleen Susan Parker, RN, CNM

  • Advanced Practice Midwife
  • Loveland, CO
National Provider Identifier
1275892911
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN.0992524-CNM Issued in CO
Practice address
2500 Rocky Mountain Ave
North Mob, Suite 150
Loveland, CO 80538-9004
Phone
(970) 493-7442
Fax
(970) 493-2990
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 808872 CA
Advanced Practice Midwife 367A00000X 813 NM
Advanced Practice Midwife 367A00000X 1987 CA
Advanced Practice Midwife 367A00000X 846113 NV
Advanced Practice Midwife 367A00000X APN.0992524-CNM CO Primary

Addresses

Primary practice location

2500 Rocky Mountain Ave
North Mob, Suite 150
Loveland, CO 80538-9004

Mailing address

1107 S Lemay Ave
Suite 300
Fort Collins, CO 80524-3960
Phone (970) 493-7442

Other practice location 1

7155 E 38th Ave
Denver, CO 80207-1630
Phone (303) 321-2458

Other practice location 2

3220 W Charleston Blvd
Las Vegas, NV 89102-1932
Phone (702) 878-7776

Other practice location 3

701 San Mateo Blvd NE
Albuquerque, NM 87108-1434
Phone (505) 265-9511

Other identifiers 2

IdentifierTypeStateIssuer
9000146136MedicaidCO
6652247MedicaidNM

Other names 1

  • Kathleen Susan Bennett Former name

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, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
808872CAMDRegistered Nurse
813NMMDOccupational Therapist
1987CAMDAdvanced Practice Midwife
846113NVMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
HCA Healthone LLC Past Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients
Planned Parenthood of the Rocky Mountains, Inc Past Accepting new patients

Organizations & group practices 3

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": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1275892911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S LEMAY AVE",
            "address_2": "SUITE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243960",
            "telephone_number": "970-493-7442",
            "fax_number": "970-493-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ROCKY MOUNTAIN AVE",
            "address_2": "NORTH MOB, SUITE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389004",
            "telephone_number": "970-493-7442",
            "fax_number": "970-493-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7155 E 38th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802071630",
            "country_code": "US",
            "telephone_number": "303-321-2458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021932",
            "country_code": "US",
            "telephone_number": "702-878-7776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 San Mateo Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871081434",
            "country_code": "US",
            "telephone_number": "505-265-9511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KATHLEEN",
        "middle_name": "SUSAN",
        "credential": "RN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "808872",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "813",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1987",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "846113",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0992524-CNM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000146136",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6652247",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BENNETT",
            "middle_name": "SUSAN",
            "credential": "RN, CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

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