Individual provider Active NPI

Kimberly Ann Windels, CNM

  • Advanced Practice Midwife
  • Cheyenne, WY
National Provider Identifier
1649525940
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN.0170030-CNM Issued in CO
Practice address
1122 Logan Ave
Cheyenne, WY 82001-5216
Phone
(970) 980-7573
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X CO
Advanced Practice Midwife 367A00000X APN.0170030-CNM CO Primary
Lactation Consultant (Registered Nurse) 163WL0100X L-140666 CO

Addresses

Primary practice location

1122 Logan Ave
Cheyenne, WY 82001-5216

Mailing address

1122 Logan Ave
Cheyenne, WY 82001-5216
Phone (307) 222-9446

Other identifiers 1

IdentifierTypeStateIssuer
9000146150MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-140666COMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health Past Accepting new patients
Mountain Miracles Midwifery, Inc. Advanced Practice Midwife PastSince Jan 1, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: arevoal@bch.gwaydirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1649525940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 LOGAN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015216",
            "telephone_number": "307-222-9446",
            "fax_number": "307-316-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 LOGAN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015216",
            "telephone_number": "970-980-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDELS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0170030-CNM",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CO",
            "license": "L-140666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000146150",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.