Healthcare Provider Details

I. General information

NPI: 1518742618
Provider Name (Legal Business Name): AMANDA EILEEN SIMS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6011 E WOODMEN RD STE 320
COLORADO SPRINGS CO
80923-2604
US

IV. Provider business mailing address

10040 MORNING VISTA DR
PEYTON CO
80831-8377
US

V. Phone/Fax

Practice location:
  • Phone: 719-571-5540
  • Fax:
Mailing address:
  • Phone: 949-302-8109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.1002204-CNM
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WX0002X
TaxonomyHigh-Risk Obstetric Registered Nurse
License Number1657735
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: