Kallie Raye Underwood, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

APN.0994323-CNM Issued in CO

Practice address

9475 Briar Village PT Ste 100
Colorado Springs, CO 80920-7902

Phone

(719) 367-9405

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Beginnings Birth Center, LLC

  • Birthing Clinic/Center
  • Colorado Springs, CO
  • NPI 1134611791
  NPD (past)
• Beginnings Birth Center, LLC

  • Advanced Practice Midwife
  • Colorado Springs, CO
  • NPI 1275025215
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1386292928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 WOODPARK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809514729",
            "telephone_number": "316-633-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 BRIAR VILLAGE PT STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207902",
            "telephone_number": "719-367-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "KALLIE",
        "middle_name": "RAYE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0994323-CNM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Underhill, MD
• Chevon Underwood
• Grace Underwood
• Jacob Underwood, MS, LPCC
• Jailynn Underwood
• Karen K Underwood, PHD
• Veronica Marie Underwood
• Christine Fawn Unger, O.D.
• Olivia Unger
• James John Ungvarsky, PSYD, LMFT

• Advanced Practice Midwife in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Advanced Practice Midwife in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.