Individual provider Active NPI

Megan Ashley Kitterman, CNM

  • Advanced Practice Midwife
  • Boise, ID
National Provider Identifier
1013412402
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
58221 Issued in ID
Practice address
333 N 1St St Ste 260
Boise, ID 83702-6132
Phone
(208) 345-3136
Fax
(208) 345-0984
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 58221 ID Primary

Addresses

Primary practice location

333 N 1St St Ste 260
Boise, ID 83702-6132

Mailing address

333 N 1St St Ste 260
Boise, ID 83702-6132
Phone (208) 345-3136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180529002554 ID Practitioner - Certified Nurse Midwife (CNM) 8820353667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Health Associates, PLLCGroup PAC ID 4082630587, 19 clinicians

Practice addresses (Care Compare)

333 N 1St St
Suite 240
Boise, ID 83702-6132
Phone (208) 338-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Glen S Lovelace MD PA CurrentSince May 1, 2018 Accepting new patients
Women'S Health Associates, PLLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

333 N 1st St
Ste 240
Boise, ID 83702
Phone (208) 338-8900

333 N 1st St
Ste 260
Boise, ID 83702
Phone (208) 345-3136

3090 E Gentry Way
Ste 210
Meridian, ID 83642
Phone (208) 338-8900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFEDAD/Endpoint/JFEDAD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1013412402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N 1ST ST STE 260",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026132",
            "telephone_number": "208-345-3136",
            "fax_number": "208-345-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N 1ST ST STE 260",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026132",
            "telephone_number": "208-345-3136",
            "fax_number": "208-345-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTERMAN",
        "first_name": "MEGAN",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ID",
            "license": "58221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.