Provider Demographics
NPI:1942988894
Name:KROSKOB, LINDSEY ERIN (CPM, LM, NREMT)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ERIN
Last Name:KROSKOB
Suffix:
Gender:F
Credentials:CPM, LM, NREMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1686 GRAND AVE UNIT 7
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-7935
Mailing Address - Country:US
Mailing Address - Phone:406-930-0328
Mailing Address - Fax:
Practice Address - Street 1:1817 JESSUP DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2550
Practice Address - Country:US
Practice Address - Phone:866-218-5769
Practice Address - Fax:970-792-8507
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2025-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-EMT-LIC-58748146N00000X
374J00000X
COMWR.0000241176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No374J00000XNursing Service Related ProvidersDoula