TARA DRERUP (NPI# 1972961720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972961720 |
| Entity Type | Individual |
| Full Name | TARA DRERUP |
| Credential | CNM |
| Practice Address |
225 S Union Blvd Colorado Springs CO 80910-3184 |
| Mailing Address |
3205 N Academy Blvd Ste 130 Colorado Springs CO 80917-5152 |
| Practice Telephone | 7196325700 |
| Mailing Telephone | 7196325700 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0187265 | CO | Nursing Service Providers |
| Y | 176B00000X | Midwife | APN.0992084-CNM | CO | Other Service Providers |
| N | 176B00000X | Midwife | 0992084 | CO | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6705 Rangewood Dr, Colorado Springs, CO 809187300 | 7195997331 |
| Street Address |
225 S UNION BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910-3184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014495 | Camilla Ann Bicknell | Registered Nurse | 225 S Union Blvd, Colorado Springs, CO 80910-3184 | 2005-06-22 |
| 1417566183 | Trissana Deleon | Nurse Practitioner | 225 S Union Blvd, Colorado Springs, CO 80910-3184 | 2020-07-28 |
| 1568962850 | Melissa Mitton | Registered Nurse | 225 S Union Blvd, Colorado Springs, CO 80910-3184 | 2018-02-14 |
| 1659811404 | Kara Novak | Nurse Practitioner | 225 S Union Blvd, Colorado Springs, CO 80910-3184 | 2017-02-27 |
| 1508260019 | Laurri Jones | Nurse Practitioner | 225 S Union Blvd, 2nd Floor, Colorado Springs, CO 80910-3184 | 2014-10-13 |
| 1134535586 | Patricia D Bursnall | Nurse Practitioner | 225 S Union Blvd, Colorado Springs, CO 80910-3184 | 2014-07-07 |
| 1063827442 | Miriam Dawn Hughes | Advanced Practice Midwife | 225 S Union Blvd, Second Floor, Colorado Springs, CO 80910-3184 | 2014-06-24 |
| 1588088942 | Tara Melborne | Registered Nurse | 225 S Union Blvd, Second Floor, Colorado Springs, CO 80910-3184 | 2014-02-05 |
| 1275816274 | Brett Michael Waite | Physician Assistant | 225 S Union Blvd, First Floor, Colorado Springs, CO 80910-3184 | 2011-09-26 |
| 1841593225 | Peak Vista Community Health Centers | Clinic/Center | 225 S Union Blvd, Colorado Springs, CO 80910 | 2010-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| 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 |
|---|---|---|---|---|
| 1194251843 | Rosebud Birthing Services | Midwife | 2130 Academy Cir Ste D, Colorado Springs, CO 80909-1675 | 2017-05-02 |
| 1003221870 | Birth @home Midwifery Services | Midwife | 2112 Riverwalk Pkwy, Colorado Springs, CO 80951-9748 | 2014-06-30 |
| 1689097214 | Carmen Briana Lackett | Midwife | 2814 Dusk Dr, Colorado Springs, CO 80918-4304 | 2014-02-03 |
| 1104257039 | Jillian Freeland | Midwife | 2030 Capulin Dr, Colorado Springs, CO 80910-1510 | 2013-12-03 |
| 1346590007 | Dana Allen Mclaren | Midwife | 937 Columbine Ave, Colorado Springs, CO 80904-2784 | 2012-09-10 |
| 1326397076 | Christie Sheffer | Midwife | 2524 W. Colorado Avenue, Suite 209, Colorado Springs, CO 80904 | 2012-09-09 |
| 1265799787 | Tara Leslie Stephen | Midwife | 7120 Silver Ponds Hts, Colorado Springs, CO 80908-4765 | 2012-04-20 |
| 1346544129 | Desirre C S Andrews | Midwife | 6180 Lehman Dr, Suite 103, Colorado Springs, CO 80918-3444 | 2011-01-07 |
| 1356655310 | Laura Luckett | Midwife | 1010 Jupiter Dr, Colorado Springs, CO 80905-7731 | 2010-08-02 |
| 1285829762 | Jessica Anne Nipp | Midwife | 7175 Delmonico Dr, Colorado Springs, CO 80919-1223 | 2007-09-08 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
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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.