Obstetrics Providers

Pictured: CRNA Andrew Sauthoff; Meggan Grant-Nierman, D.O.; Vanna Irving, M.D.; Daniel Lombardo, M.D.; Jenni Adams, D.O.; Ashley O'Hara, M.D.; James Wigington, M.D.
Dr. Jenni Adams, D.O.
Dr. Adams earned her medical degree from A.T. Still University School of Osteopathic Medicine in Mesa, Arizona. She completed her family medicine residency at North Colorado Family Medicine (NCFM) in Greeley, CO, where she trained in a variety of broad-spectrum family medicine departments, including OB-GYN, neonatal intensive care (NICU) as well as inpatient pediatrics.
Dr. Adams is also fellowship-trained in high-risk and surgical obstetrics.
Dr. Meggan Grant-Nierman, D.O.
Dr. Grant-Nierman is a Colorado native whose father was a family physician in rural eastern Colorado. She saw firsthand the joy he had providing care to their community and chose to follow in his footsteps. Dr. G-N is honored to be a part of a family’s care through life’s journey. Meggan and her husband Josiah moved to Salida in 2012 and have enjoyed integrating into this wonderful community. Meggan enjoys hiking, cooking, volleyball, and spending time with her family and dogs. Dr. Grant-Nierman has her own private practice, but utilizes the Family Birthing Center for deliveries.
Dr. Vanna Kay Irving, M.D.
Dr. Vanna Kay Irving is a board-certified Family Physician who completed her fellowship in obstetrics. She was born and raised in Little Rock, Arkansas where she graduated medical school from the University of Arkansas for Medical Sciences. Dr. Irving is most passionate about supporting mothers and young families during and after pregnancy, but also enjoys providing care to the entire family. She is the mother of two children and enjoys rock climbing, skiing, and mountain biking.
Dr. Dan Lombardo, M.D.
Dr. Lombardo graduated medical school from the University Of Florida College Of Medicine in 2012. His medical interests include caring for patients of all ages, women’s health and reproductive care, pediatric care, primary care, and skin care – including mole removal and biopsies. Dan is also fluent in Spanish. His wife, Megan, is a local musician, piano teacher, and accompanist. They have a daughter, Nora. Like most Colorado transplants, they came here for the people and the mountains. They enjoy the Salida community and the wilderness that surrounds it.
Dr. Ashley O’Hara, M.D.
Dr. Ashley O’Hara is a board-certified family physician. Originally from a small town in Upstate New York, she completed her residency in Grand Junction and has been practicing in Salida since 2013. She practices office and hospital-based family medicine from newborns to adults of all ages. Her special interests include obstetrics, women’s health, and pediatrics. She provides outpatient services in both Salida and Saguache, and delivers babies at HRRMC. Ashley enjoys baking, travelling, and spending time in the outdoors with her husband and daughter.
Family Birthing Center Nurses

Katelynn, RN - Family Birthing Center Manager
Katelynn has been an RN for five years in Labor and Delivery. Katelynn loves working in the Family Birthing Center and being a part of such a special time in the lives of her patients. Katelynn was born and raised in Colorado, is a mom of 2 cats, loves spending quality time with her family, and enjoys being in the mountains.

Cortney, RN
Cortney has been a nurse for four years. She enjoys lots of outdoor hobbies including skiing, biking and walks with her three children. Her favorite part about being an OB nurse is being a part of patients’ labor process and delivery, while using her skills and knowledge of obstetrics during critical moments to help birthing parent and baby.

Iris, RN
Iris has been a nurse for three years. She competes on the Salida Roller Derby team and coaches Junior Roller Derby. Go Ark Valley High Rollers!! Her favorite part of being an OB nurse is supporting pregnant patients through their labor and connecting with new parents as they meet their baby for the first time.
Joni, RN
In 2011, Joni began her labor and delivery career as a nurse’s aide, then she transitioned to the nursing role after completing her nursing degree. Throughout her career, she has held an active role in childbirth and breastfeeding education for community members. She believes collaboration with our community is the key to helping parents be successful. Joni believes Salida is fortunate to have a team so focused on the exceptional care of women and babies. At home, Joni is a wife and mother to four children. Her family enjoys biking, skiing, hiking, rafting, and camping. She loves vacationing in new places and enjoys trail running.
Kathleen, RN
Kathleen has been a nurse for 32 years, 22 years in Labor and Delivery and 10 in high risk NICU. Her favorite part of being an OB nurse is creating bonds with patients and giving babies their first bath. Kathleen loves riding quads in the summer and spending time with her amazing friends and family.

Kim, RN
Kim has been a nurse for 25 years and has been a lactation counselor for 20 years. Kim has two cats, two dogs, and two kids who she loves spending time with. Her favorite part of being an OB nurse is witnessing the strength of people in labor, and seeing a baby latch on for the very first time. It’s all very magical!

Lynne, RN
Lynne has been a nurse for four years in the Family Birthing Center. She loves working in the FBC and being a part of each family's birthing experience. Lynne is from Michigan and has been in Salida for 20 years. Lynne is a mom of four (child, husband, cat and a dog), loves rafting, mountain biking, and skiing with her family and friends.
Shelley, RN
Shelley has been a Labor and Delivery/Postpartum nurse for over five years, with several years of experience at a busy hospital in the Front Range. She loves being adaptable to each person's desired childbirth and postpartum experience, advocating for and guiding them through an intense but beautiful time. Though she is originally from Austin, TX, she has found home in the Arkansas River Valley and you can find her running, running, running all over these gorgeous mountains.
Pelvic floor services for obstetrics patients
Pelvic health physical therapists at Heart of the Rockies Regional Medical center have collaborated with community physicians and obstetric nurses to create a unique program focused on improving the pregnancy and postpartum experience for women in our community. These physical therapists have specialized skills aimed at injury prevention during delivery, improving impairments such as pain and incontinence, patient education to promote early recognition of concerning signs and symptoms, and when to seek out help from a pelvic health physical therapist. The physical therapy maternal care continuum includes a third trimester visit, a hospital postpartum visit, and a postpartum outpatient visit.



