Active NPI
Mari Anne Gambotto, NP
- Perinatal Registered Nurse
- Boulder, CO
National Provider Identifier
1457304743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perinatal Registered Nurse
- License
- 111282
- Practice address
- 2745 Iliff St
Boulder, CO 80305-7019 - Phone
- (303) 809-9292
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Perinatal Registered Nurse | 163WP1700X | 111282 | CO | Primary |
Addresses
Primary practice location
2745 Iliff St
Boulder, CO 80305-7019
Mailing address
2745 Iliff St
Boulder, CO 80305-7019
Phone (303) 809-9292
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111282 | CO | MD | Perinatal Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrix Medical Group of Colorado P C | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Cardiology Physician
- Denver, CO
- NPI 1497779276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1457304743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2745 ILIFF ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803057019",
"telephone_number": "303-809-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2745 ILIFF ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803057019",
"telephone_number": "303-809-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBOTTO",
"first_name": "MARI",
"middle_name": "ANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP1700X",
"taxonomy_group": "",
"desc": "Registered Nurse, Perinatal",
"state": "CO",
"license": "111282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.