Individual provider Active NPI

Sabely Nichols, ARNP, CNM, WHNP-BC

  • Advanced Practice Midwife
  • Montrose, CO
National Provider Identifier
1417354804
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
C-APN.0003997-C-CNM Issued in CO
Practice address
715 S 3Rd St
Montrose, CO 81401-4209
Phone
(970) 249-6737
Fax
(970) 252-0112
NPI assigned
Dec 1, 2014
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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 ARNP9273713 FL
Advanced Practice Midwife 367A00000X C-APN.0003997-C-CNM CO Primary

Addresses

Primary practice location

715 S 3Rd St
Montrose, CO 81401-4209

Mailing address

715 S 3Rd St
Montrose, CO 81401-4209
Phone (970) 249-6737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505001289 CO Practitioner - Certified Nurse Midwife (CNM) 6103184460 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
C-APN.0003997-C-CNMCOMDAdvanced Practice Midwife
ARNP9273713FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Montrose Memorial Hospital, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1417354804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S 3RD ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014209",
            "telephone_number": "970-249-6737",
            "fax_number": "970-252-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S 3RD ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014209",
            "telephone_number": "970-249-6737",
            "fax_number": "970-252-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "SABELY",
        "credential": "ARNP, CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9273713",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "C-APN.0003997-C-CNM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.