Individual provider Active NPI

Karen L Vorderberg, CNM

  • Advanced Practice Midwife
  • Greeley, CO
National Provider Identifier
1730249103
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN.0005437-CNM Issued in CO
Practice address
1715 61St Ave
Greeley, CO 80634-7989
Phone
(970) 336-1500
Fax
(970) 336-1505
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X WV101 WV
Registered Nurse 163W00000X RN.0183477 CO
Advanced Practice Midwife 367A00000X APN.0005437-CNM CO Primary

Addresses

Primary practice location

1715 61St Ave
Greeley, CO 80634-7989

Mailing address

1715 61St Ave
Greeley, CO 80634-7989
Phone (970) 336-1500

Other identifiers 2

IdentifierTypeStateIssuer
0160157000MedicaidWV
25956248MedicaidCO

Other names 1

  • Karen L. Kendregan Former name

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

State licenses

LicenseStateTypeSpecialty
101WVMDOrthodontics and Dentofacial Orthopedic Dentist
WV101WVMDMidwife
APN.0005437-CNMCOMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1730249103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 61ST AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347989",
            "telephone_number": "970-336-1500",
            "fax_number": "970-336-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 61ST AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347989",
            "telephone_number": "970-336-1500",
            "fax_number": "970-336-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORDERBERG",
        "first_name": "KAREN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WV",
            "license": "WV101",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0183477",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0005437-CNM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160157000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25956248",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KENDREGAN",
            "middle_name": "L.",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.