Healthcare Provider Details

I. General information

NPI: 1255808028
Provider Name (Legal Business Name): SARA JEAN STRUCKMEYER CNM, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2018
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1658 COLE BLVD STE 210
LAKEWOOD CO
80401-3304
US

IV. Provider business mailing address

6184 FLATTOP ST
GOLDEN CO
80403-2178
US

V. Phone/Fax

Practice location:
  • Phone: 303-747-5051
  • Fax:
Mailing address:
  • Phone: 706-247-4018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.0994237-CNM
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPN.0997204
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: