JESSICA DACIC (NPI# 1154966174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154966174 |
| Entity Type | Individual |
| Full Name | JESSICA DACIC |
| Practice Address |
1925 Mountain View Ave Longmont CO 80501-3128 |
| Practice Telephone | 7204943130 |
| Practice Fax Number | 7204943176 |
| Mailing Telephone | 7204943130 |
| Mailing Fax Number | 7204943176 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.1618824 | CO | Nursing Service Providers |
| Y | 176B00000X | Midwife | APN.0995233-CNM | CO | Other Service Providers |
| N | 363L00000X | Nurse Practitioner | APN.0995233-CNM | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1925 MOUNTAIN VIEW AVE |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538555 | Amy Lou Johnson | Obstetrics & Gynecology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2005-06-14 |
| 1013522192 | Poudre Valley Medical Group, LLC | Urology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-09-15 |
| 1164037248 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-09-15 |
| 1003421306 | Poudre Valley Medical Group, LLC | Urology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-09-14 |
| 1922613603 | Poudre Valley Medical Group, LLC | Internal Medicine | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-09-10 |
| 1679186803 | Poudre Valley Medical Group, LLC | Internal Medicine | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-27 |
| 1942813167 | Poudre Valley Medical Group, LLC | Internal Medicine | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-27 |
| 1194338319 | Poudre Valley Medical Group, LLC | Radiology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-27 |
| 1740893197 | Poudre Valley Medical Group, LLC | Surgery | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-26 |
| 1073126652 | Poudre Valley Medical Group, LLC | Pediatrics | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780230318 | Felicia Renee Chavando | Midwife | 4089 Ute Hwy, Longmont, CO 80503-9126 | 2019-08-09 |
| 1528480373 | Nichole Calagias Didelot | Midwife | 8590 N 39th St, Longmont, CO 80503-8840 | 2014-01-14 |
| 1730513367 | Laura K Kawulok | Midwife | 1903 Cambridge Dr, Longmont, CO 80503-1706 | 2013-08-30 |
| 1104155381 | Adrienne R. Leeds | Midwife | 1736 Clover Creek Dr, Longmont, CO 80503 | 2009-12-16 |
| 1114048469 | Margaret Jeni Schraishuhn | Midwife | 2005 3rd Ave, Longmont, CO 80501-4720 | 2007-04-03 |
| 1831546068 | Community Roots Midwife Collective | Midwife | 1903 Cambridge Dr, Longmont, CO 80503-1706 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674662 | Erin Mae Morris Defields | Midwife | 2105 S College Ave, Fort Collins, CO 80525-1496 | 2020-06-23 |
| 1659991354 | Kalie Ray | Midwife | 279 Deer Trl, Pagosa Springs, CO 81147-9637 | 2020-04-22 |
| 1154950111 | Tatia L Donoho | Midwife | 39256 County Road 80, Briggsdale, CO 80611 | 2020-04-02 |
| 1043844707 | Nemonie Erin Donahue | Midwife | 11670 County Road 15, Del Norte, CO 81132-9745 | 2020-03-02 |
| 1578196648 | Aubrey Shaylene Mast | Midwife | 1825 Hydrangea Dr, Windsor, CO 80550-3487 | 2020-02-18 |
| 1073146338 | Josi Kate Berry | Midwife | 1635 Aurora Ct # Aop3425, Aurora, CO 80045-2541 | 2020-02-14 |
| 1598305039 | Donna Lynn Blythe | Midwife | 6575 S Jackson Ct, Centennial, CO 80121-3635 | 2020-01-13 |
| 1235773094 | Lauren A Barnett | Midwife | 6877 Walker Dr, Niwot, CO 80503-8648 | 2019-11-04 |
| 1255974093 | Jaime Doty | Midwife | 140 Palomino Trl, Ridgway, CO 81432-9252 | 2019-10-24 |
| 1609422328 | Lindsey Bischoff | Midwife | 2900 E 136th Ave Ste 110, Thornton, CO 80241-3542 | 2019-08-19 |
| Find all providers with the same taxonomy | ||||
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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.