MEDICARE: GREGORY JAMES ROBERTS CNM

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	367A00000X	Advanced Practice Midwife	APN.1001787-CNM	CO

General Provider Information

NPI Number	:	1790614790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY JAMES ROBERTS CNM

Provider Business Mailing Address
First Line	:	1132 N WASHINGTON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-2617
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	799 E HAMPDEN AVE STE 430
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2766
Country	:	US
Telephone Number	:	303-781-5809
Fax Number	:

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

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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