Active NPI
Audrey E Beers, CPM, CDM
- Midwife
- Fort Collins, CO
National Provider Identifier
1609359561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 136164
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 136164 | AK | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Labor of Love Midwifery, LLC | Past | Accepting new patients | |
| Rejuventate Ak | Past | 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.
-
- Lay Midwife
- Wasilla, AK
- NPI 1821399460
-
- Massage Therapist
- Wasilla, AK
- NPI 1831877273
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.