Individual provider Active NPI

Susan Bush, CNM

  • Advanced Practice Midwife
  • Loveland, CO
National Provider Identifier
1477541050
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
83360 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
Oct 8, 2005
Last updated
Feb 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 83360 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

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
I20120605000688 CO Practitioner - Certified Nurse Midwife (CNM) 4587828413 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83360COMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 9, 2020 Accepting new patients
Fort Collins Women's Clinic, PC CurrentSince Mar 15, 2012 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 9, 2020 Accepting new patients
Fort Collins Women's Clinic, P.C. CurrentSince Mar 15, 2012 Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients
Womancare Nurse-Midwifery Practice, Inc Past Accepting new patients

Locations

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1960 N Ogden St
Ste 320
Denver, CO 80218
Phone (303) 318-2620

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

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

2500 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 493-7442

Organizations & group practices 7

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": "1128729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1477541050",
    "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": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-08",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "83360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.