Healthcare Provider Details

I. General information

NPI: 1326522640
Provider Name (Legal Business Name): KATE E SUIRE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 PATRIOT DR STE 106
BARDSTOWN KY
40004-9094
US

IV. Provider business mailing address

1715 61ST AVE
GREELEY CO
80634-7989
US

V. Phone/Fax

Practice location:
  • Phone: 502-233-4496
  • Fax: 502-233-4510
Mailing address:
  • Phone: 970-336-1500
  • Fax: 970-336-1505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1658403
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPN.0994276-CNM
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4042933
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: