Carol Hardin Roedocker, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

APN.0002463-CNM Issued in CO

Practice address

2614 W Vine Dr
Fort Collins, CO 80521-1504

Phone

(970) 227-3555

Fax

(970) 822-0455

NPI assigned

Dec 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thirteenth Moon Midwifery

  dba 13th Moon Midwifery

  • Health Service Clinic/Center
  • Fort Collins, CO
  • NPI 1295023893
  Medicare reassignment NPD Authorized official
• Be Inc

  • Multi-Specialty Clinic/Center
  • Candler, NC
  • NPI 1447851340
  NPD

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732406400000",
    "number": "1508160169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 W VINE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805211504",
            "telephone_number": "970-227-3555",
            "fax_number": "970-822-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 W VINE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805211504",
            "telephone_number": "970-227-3555",
            "fax_number": "970-822-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDOCKER",
        "first_name": "CAROL",
        "middle_name": "HARDIN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "118053",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0002463-CNM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18826211",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Rodriguez
• Valgerdur Asta Rodriguez
• Brittany Spanjer Roeder, DDS
• Joseph M Roeder, DDS
• Tenley Joy Roeder, NP
• Justin James Roesch, M.D
• Kyle A Rogers-Loft
• Alisha Dianne Rogers, RBT
• Caitlyn Rogers, MSW
• Chandal Rogers

• Advanced Practice Midwife in Fort Collins, CO
• Providers in Fort Collins, 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 Nov 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.