Bloomin' Babies Birth Center, LLC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Legal business name

BLOOMIN' BABIES BIRTH CENTER, LLC

Doing business as

Bloomin' Babies Group

Practice address

2241 N 7TH St
Grand Junction, CO 81501-7423

Phone

(970) 549-1711

NPI assigned

Oct 14, 2015

Organization subpart

No

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

Authorized official

Name

Patty KandikoNPI 1649515685

Title

CNM

Phone

(970) 279-4545

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Bloomin' Babies Group Doing business as

Tax ID family

Bloomin Babies Birth Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bloomin Babies Birth Center LLC

  • Birthing Clinic/Center
  • Grand Junction, CO
  • NPI 1992043996
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patty Jean Kandiko, CNM

  • Advanced Practice Midwife
  • Grand Junction, CO
  • NPI 1649515685
  NPD (past) Authorized official

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1720459894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 N 7TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017423",
            "telephone_number": "970-589-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 N 7TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017423",
            "telephone_number": "970-549-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMIN' BABIES BIRTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "KANDIKO",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "CNM",
        "authorized_official_telephone_number": "970-279-4545"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62975862",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomin' Babies Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Advanced Practice Midwife in Grand Junction, CO
• Providers in Grand Junction, 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 Jan 22, 2020; 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.