13TH MOON MIDWIFERY, INC. (NPI# 1295023893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295023893 |
| Entity Type | Organization |
| Organization Name | 13TH MOON MIDWIFERY, INC. |
| Practice Address |
912 Wild Cherry Ln Fort Collins CO 80521-1365 |
| Practice Telephone | 9702213496 |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2011-07-16 |
| Authorized Official Name | CAROL ROEDOCKER (CNM/OWNER) |
| Authorized Official Telephone | 9702213496 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
RN118053 | CO | Ambulatory Health Care Facilities |
| Street Address |
912 WILD CHERRY LN |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80521-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508160169 | Carol Hardin Roedocker | Advanced Practice Midwife | 912 Wild Cherry Ln, Fort Collins, CO 80521-1365 | 2010-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
| 1134675986 | Above and Beyond Therapy, LLC | Occupational Therapist | 305 W Magnolia St. Pmb #175, Fort Collins, CO 80521 | 2016-08-31 |
| 1053763722 | Jessie Charbonneau | Counselor | 123 Aylesworth Hall, Csuhn Counseling Center, Fort Collins, CO 80521 | 2016-07-06 |
| 1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
| 1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
| 1255690715 | Simon Peter Ferraro Dove | Chiropractor | 1302 South Shields, #a1-3, Fort Collins, CO 80521 | 2012-05-03 |
| 1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
| 1356535975 | Wendy Brumley Lee | Community Based Residential Treatment Facility, Mental Illness | 1644 S. College Avenue, Ft. Collins, CO 80521 | 2007-08-28 |
| 1184833832 | James J Reid LLC | Social Worker | 1220 University Ave, Ft Collins, CO 80521 | 2007-05-21 |
| Find all providers in zip 80521 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1518242627 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 620 South Lemay Avenue, Fort Collins, CO 80524 | 2011-10-20 |
| 1669615688 | The Daccardi Center for Natural Health | Clinic/Center | 1939 Wilmington Dr, Suite 102, Fort Collins, CO 80528-6404 | 2009-04-07 |
| 1952520223 | Teresa Alane Haas | Clinic/Center | Colorado State University, Hartshorn Health Service, Fort Collins, CO 80523-8031 | 2007-04-25 |
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| 1124650221 | Tri-county Health Department | Clinic/Center | 30 S 20th Ave Ste Fg, Brighton, CO 80601-3705 | 2020-02-06 |
| 1992337091 | Tri-county Health Department | Clinic/Center | 7000 Broadway Ste 400, Denver, CO 80221-2947 | 2020-02-06 |
| 1467084566 | Tri-county Health Department | Clinic/Center | 9350 Heritage Hills Cir, Lone Tree, CO 80124-5518 | 2020-02-06 |
| 1962032003 | Sc Telehealth Clinic LLC | Clinic/Center | 1013 Candytuft Blvd, Pueblo, CO 81001-1026 | 2020-01-16 |
| 1568029767 | Infinity Imaging LLC | Clinic/Center | 8515 Pearl St Ste 201, Thornton, CO 80229-4809 | 2019-05-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80521 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.