Healthcare Provider Details

I. General information

NPI: 1447126909
Provider Name (Legal Business Name): JANMODAYA MOTHER BABY CLINIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 W BASELINE RD
LAFAYETTE CO
80026-1719
US

IV. Provider business mailing address

308 W BASELINE RD
LAFAYETTE CO
80026-1719
US

V. Phone/Fax

Practice location:
  • Phone: 303-351-1029
  • Fax: 303-970-1006
Mailing address:
  • Phone: 303-351-1029
  • Fax: 303-970-1006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: AMITA SREENIVAS
Title or Position: FOUNDER / DIRECTOR / MIDWIFE
Credential: DNP, MPH, CNM, PMH-C
Phone: 303-351-1029