Active NPI
Virginia Lou Crandall, CNM
- Advanced Practice Midwife
- Colorado Springs, CO
National Provider Identifier
1649295221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 169985
- Practice address
- 6340 Barnes Road
Colorado Springs, CO 80922 - Phone
- (719) 380-5411
- Fax
- (719) 390-3571
- NPI assigned
- Jul 13, 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 169985 | CO | Primary |
Addresses
Primary practice location
6340 Barnes Road
Colorado Springs, CO 80922
Mailing address
2 South Cascade Avenue
Suite 140
Colorado Springs, CO 80903-1604
Phone (719) 538-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19478836 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169985 | CO | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1649295221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SOUTH CASCADE AVENUE",
"address_2": "SUITE 140",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031604",
"telephone_number": "719-538-2900",
"fax_number": "719-538-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6340 BARNES ROAD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80922",
"telephone_number": "719-380-5411",
"fax_number": "719-390-3571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDALL",
"first_name": "VIRGINIA",
"middle_name": "LOU",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CO",
"license": "169985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19478836",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.