Provider Demographics
NPI:1215082995
Name:THOMPSON, WENDY ELIZABETH (CNM, MSN)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:ELIZABETH
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:CNM, MSN
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:ELIZABETH
Other - Last Name:HUMMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2352 MEADOWS BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-8419
Mailing Address - Country:US
Mailing Address - Phone:720-330-1460
Mailing Address - Fax:720-703-9028
Practice Address - Street 1:2352 MEADOWS BLVD STE 300
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8419
Practice Address - Country:US
Practice Address - Phone:720-330-1460
Practice Address - Fax:720-703-9028
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 364764163WC1500X, 163WX0003X
CO174887163WX0003X
CANM 1305367A00000X
COAPN.4929-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO025209OtherKAISER COMMERCIAL NUMBER
CO98739000Medicaid
CO374075YK5YMedicare PIN
CO98739000Medicaid