MEDICARE: SIERRA MATHOS IBCLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)	L-320167	CO

General Provider Information

NPI Number	:	1669337978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIERRA MATHOS IBCLC

Provider Business Mailing Address
First Line	:	8200 CROWFOOT LN
Second Line	:
City	:	EVERGREEN
State	:	CO
Zip	:	80439-4029
Country	:	US
Telephone Number	:	785-787-8240
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 CROWFOOT LN
Second Line	:
City	:	EVERGREEN
State	:	CO
Zip	:	80439-4029
Country	:	US
Telephone Number	:	785-787-8240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

Similar Medicare Providers

1336734888 — MCKENNA Y FLASH MA,CCC, SLP
Practice Location Address:

113 EVERGREEN AVE
HARTFORD, CT
06105-4029

Practice Phone: 860-878-2362
Practice Fax:

1427630664 — EXPRESSIONS IN SPEECH LLC
Practice Location Address:

113 EVERGREEN AVE
HARTFORD, CT
06105-4029

Practice Phone: 860-333-8909
Practice Fax:

1962366880 — INSIGHT PSYCHOLOGY, LLC
Practice Location Address:

4611 PLETTNER LN STE 100
EVERGREEN, CO
80439-7396

Practice Phone: 720-443-3112
Practice Fax:

1245193143 — ERIC SILVERS
Practice Location Address:

1035 EL RANCHO RD
EVERGREEN, CO
80439-8238

Practice Phone: 720-295-3790
Practice Fax:

1427911189 — JOHN JAMES LIGHTHART DPT
Practice Location Address:

1262 BERGEN PKWY UNIT E10
EVERGREEN, CO
80439-9546

Practice Phone: 303-674-7889
Practice Fax: 303-674-8117

1093711848 — MICHAEL JOE LARSON D.D.S.
Practice Location Address:

30940 STAGECOACH BLVD , STE E250
EVERGREEN, CO
80439-7984

Practice Phone: 303-674-6777
Practice Fax:

Directions to “ SIERRA MATHOS IBCLC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.