KIM K MCMANAMAN (NPI# 1790711331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790711331 |
| Entity Type | Individual |
| Full Name | KIM K MCMANAMAN |
| Credential | CNM |
| Practice Address |
110 E Routt Ave Pueblo CO 81004-2117 |
| Mailing Address |
310 Colorado Ave Pueblo CO 81004-2006 |
| Practice Telephone | 7195438711 |
| Practice Fax Number | 7195435340 |
| Mailing Telephone | 7195438718 |
| Mailing Fax Number | 7195435340 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | 91080 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 57756317 | 05 |
| Street Address |
110 E ROUTT AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164906194 | Lisa M Rich | Midwife | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2018-09-15 |
| 1467966440 | Toni Boyko | Physician Assistant | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2017-11-28 |
| 1124538186 | Richelle Brown | Counselor | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2017-10-04 |
| 1649797804 | Dana Alice Zuidema | Nurse Practitioner | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2017-08-28 |
| 1124575956 | Shawnna Rashelle Mehlhose | Pharmacist | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2016-09-09 |
| 1417404906 | Ansley Smitherman | Nurse Practitioner | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2016-09-01 |
| 1598148298 | Brett W. Skyba | Counselor | 110 E Routt Ave, Pueblo, CO 81004 | 2015-06-30 |
| 1477956258 | Nathan Isaac Carpenter | Physician Assistant | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2014-10-07 |
| 1215221320 | Charmayne N Sandoval | Counselor | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2011-06-06 |
| 1770760365 | Dylan B Devries | Physician Assistant | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2008-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518323955 | Shaundra Lujan | Advanced Practice Midwife | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2016-01-14 |
| 1457716755 | Jennifer Leigh Gallegos | Advanced Practice Midwife | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2015-12-31 |
| 1083964506 | Valorie Corene Hauck | Advanced Practice Midwife | 300 Colorado Ave, Pueblo, CO 81004 | 2012-09-12 |
| 1710282561 | Jennifer Rae Roberts | Advanced Practice Midwife | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2011-01-25 |
| 1134256787 | Patricia D Quillen | Advanced Practice Midwife | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2007-02-28 |
| 1700821469 | Wendy H Raso | Advanced Practice Midwife | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127346 | Ashley S Character | Advanced Practice Midwife | 2900 E 136th Ave Ste 100, Thornton, CO 80241-3542 | 2020-09-03 |
| 1124666417 | Blue Spruce Birth and Wellness LLC | Advanced Practice Midwife | 5803 Mcwhinney Blvd, Loveland, CO 80538-8829 | 2019-12-17 |
| 1912560236 | Christianne Abigail Walters | Advanced Practice Midwife | 701 E Hampden Ave Ste 130, Englewood, CO 80113-2736 | 2019-04-22 |
| 1639732415 | Andrea Talarico | Advanced Practice Midwife | 7950 Kipling Parkway Ste. 201, Arvada, CO 80005 | 2019-04-17 |
| 1962961300 | Ronya G Legge Konecny | Advanced Practice Midwife | 2110 Buffalo Mountain Pl, Loveland, CO 80538-8780 | 2019-03-15 |
| 1790243962 | Danielle Bulinski | Advanced Practice Midwife | 1635 Aurora Ct # 3425, Aurora, CO 80045-2541 | 2019-03-06 |
| 1073078465 | Elizabeth I Cannon | Advanced Practice Midwife | 1320 S Logan St, Denver, CO 80210-2223 | 2019-02-10 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1366927105 | Lauren Blease | Advanced Practice Midwife | 3803 Manchester St, Colorado Springs, CO 80907-4828 | 2018-09-27 |
| 1225512353 | Jessica Gefre | Advanced Practice Midwife | 2620 E Prospect Rd Ste 160, Fort Collins, CO 80525-9098 | 2018-09-25 |
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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.