Healthcare Provider Details

I. General information

NPI: 1942198940
Provider Name (Legal Business Name): HANNAH EVANGELINE SIMMONS CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19631 THUNDER RD E
COLORADO SPRINGS CO
80908-1136
US

IV. Provider business mailing address

19631 THUNDER RD E
COLORADO SPRINGS CO
80908-1136
US

V. Phone/Fax

Practice location:
  • Phone: 719-421-9632
  • Fax: 719-960-2179
Mailing address:
  • Phone: 719-421-9632
  • Fax: 719-960-2179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License NumberMWR.0000197
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: