Active NPI
Lori B Wilson, RM
- Lay Midwife
- Colorado Springs, CO
National Provider Identifier
1417970682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lay Midwife
- License
- 58
- Practice address
- 2211 N Weber St
Colorado Springs, CO 80907-6946 - Phone
- (719) 460-6463
- NPI assigned
- Jul 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | 58 | CO | Primary |
Addresses
Primary practice location
2211 N Weber St
Colorado Springs, CO 80907-6946
Mailing address
2011 Fieldcrest Dr
Colorado Springs, CO 80921-4008
Phone (719) 460-6463
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 |
|---|---|---|---|
| 58 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417970682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 FIELDCREST DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809214008",
"telephone_number": "719-460-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 N WEBER ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076946",
"telephone_number": "719-460-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LORI",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "RM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "CO",
"license": "58",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.