Sopris Women'S Clinic

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

123427 Issued in CO

Legal business name

SOPRIS WOMEN'S CLINIC

Practice address

410 20TH St
Ste 102
Glenwood Springs, CO 81601-4271

Phone

(970) 355-9686

NPI assigned

Jul 19, 2011

Organization subpart

No

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

Authorized official

Name

Lisa Treadway, CNM

Title

Owner, LLC

Phone

(970) 355-9686

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1700174133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 20TH ST",
            "address_2": "STE 102",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014271",
            "telephone_number": "970-355-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 20TH ST",
            "address_2": "STE 102",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014271",
            "telephone_number": "970-355-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPRIS WOMEN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "TREADWAY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER, LLC",
        "authorized_official_telephone_number": "970-355-9686",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "123427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72057840",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Advanced Practice Midwife in Glenwood Springs, CO
• Providers in Glenwood Springs, 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 Jul 19, 2011; 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.