Healthcare Provider Details

I. General information

NPI: 1790614790
Provider Name (Legal Business Name): GREGORY JAMES ROBERTS CNM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 E HAMPDEN AVE STE 430
ENGLEWOOD CO
80113-2766
US

IV. Provider business mailing address

1132 N WASHINGTON ST
DENVER CO
80203-2617
US

V. Phone/Fax

Practice location:
  • Phone: 303-781-5809
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.1001787-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: