About Us


Woman's hands holding a baby's feet

Avista Women's Care was founded by Dr. Karin Spears in 1995 under the name Avistacare Broomfield, with the help of Avista Hospital. Dr. Loralie Moeller joined Dr. Spears in 1998 after practicing in Las Vegas for 4 years. In 2000 they joined Partnerships and became independent, building the legacy of our practice which we now call Avista Women's Care.

In 2003, we moved our practice to the Avista Hospital Campus, where we are still seeing patients today.  By 2009, we added a second office in Lafayette in anticipation of providing care to our patients in Lafayette and other areas.  We have welcomed our certified nurse midwives to our practice in 2013.  It has been wonderful watching them grow their practice, within our practice.  They bring their expertise in Women’s Health and Midwifery to all patients they see in our office.

In 2016, we were delighted to have Dr. Watkins join our group straight from residency.  Her expertise in new procedures and techniques has been a value to our practice.  This past year we have moved into our new and beautiful office directly across the hall from our old suite.  Dr. Balstad has joined our practice from Sterling, Colorado in 2019 as well. 

We have helped many women through the joy of pregnancy and childbirth and have watched their children grow. We have shared in the sorrow of loss, cancer, and chronic illness; and we have rejoiced in the cures and improved the health of our patients. We enjoy helping women of all ages and take pride in our practice and the rapport we have with our community. We look forward to serving you as we work together in reaching a goal and maintaining good health.

Our Team


Dr. Karin Spears received her undergraduate degree in biological sciences from the University of California at Irvine. She received her medical degree from Baylor University in Texas. Following completion of her degrees, Dr. Spears trained and specialized in Obstetrics and Gynecology at the University of Colorado's School of Medicine in Denver. Dr. Spears is the founder of Avista Women's Care. She is board certified in Obstetrics and Gynecology.

Read more about KARIN G. SPEARS, M.D.


Dr. Loralie Moeller is originally from San Diego, California. She graduated from the University of California, San Diego and received her medical degree from George Washington School of Medicine in Washington, D.C. She received her specialty training in obstetrics and gynecology from The University of Colorado School of Medicine where she served as administrative chief resident during her last year.

Read more about LORALIE MOELLER, M.D.


Dr. Kirigin Watkins is originally from Portland, Oregon, & received her undergraduate degree in Spanish & biology at Tufts University in Massachusetts. She received her medical degree from Tufts University as well. She then went on to train and specialize in Obstetrics & Gynecology at Saint Joseph Hospital in Denver, Colorado.

Read more about KIRIGIN E. WATKINS, MD


Virginia R Nagel is a Certified Nurse Midwife. She studied biology at the University of Georgia and graduated with a Bachelor's degree in nursing from Clayton State University. After years of being with women in labor and delivery as a nurse, she was inspired to get her Master's Degree in Midwifery from Philadelphia University in 2004

Read more about VIRGINIA R. NAGEL, CNM


Meagann Little, CNM graduated from Vanderbilt University with a masters of science in nursing in 2011. Prior to becoming a midwife she worked as a labor and delivery nurse at a community hospital in Nashville, TN.

Read more about MEAGANN LITTLE, CNM


Lorell grew up in Alaska and enjoys playing outdoors in Colorado with her husband and three kids. She has served in the community health setting for the past five years and is passionate about supporting physiologic birth and partnering with birthing people and families during their pregnancy and birth journey.


Eileen Neale, PA-C

Eileen is a Certified Physician Assistant originally from Chicago, Illinois. She received her undergraduate degree at Kalamazoo College in Michigan with a Bachelor's degree in psychology. After graduation, she moved to Boulder, Colorado to be closer to the mountains.

Read more about Eileen Neale, PA-C



When seeking a partner for your women’s health care, it’s important to understand how different kinds of providers will have a different approach to care. Midwives are skilled in creating a health care experience that is tailored to your personal preferences and health care needs. They will work with you to decide on important decisions such as where and how you want to give birth or how you want to approach your changing needs as you move into menopause.