Individual provider Active NPI

Audrey E Beers, CPM, CDM

  • Midwife
  • Fort Collins, CO
National Provider Identifier
1609359561
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
136164 Issued in AK
Practice address
1817 Jessup Dr
Fort Collins, CO 80525-2550
Phone
(866) 218-5769
Fax
(866) 218-5769
NPI assigned
Sep 7, 2018
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 136164 AK Primary

Addresses

Primary practice location

1817 Jessup Dr
Fort Collins, CO 80525-2550

Mailing address

2905 Neil Dr Apt 21
Fort Collins, CO 80526-6624
Phone (907) 521-0482

Other practice location 1

2405 S. Knik Goose Bay Rd.
Wasilla, AK 99654
Phone (907) 841-2565

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

LicenseStateTypeSpecialty
136164AKMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Labor of Love Midwifery, LLC Past Accepting new patients
Rejuventate Ak PastSince Jul 9, 2023 Accepting new patients

Organizations & group practices 2

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1609359561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 NEIL DR APT 21",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266624",
            "telephone_number": "907-521-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 JESSUP DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252550",
            "telephone_number": "866-218-5769",
            "fax_number": "866-218-5769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2405 S. Knik Goose Bay Rd.",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "99654",
            "country_code": "US",
            "telephone_number": "907-841-2565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEERS",
        "first_name": "AUDREY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "CPM, CDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AK",
            "license": "136164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.