Active NPI
Cinneamon Lee Geppelt, CNM, WHNP
- Advanced Practice Midwife
- Burley, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 3671142
- Practice address
- 1408 Pomerelle Ave Ste H
Burley, ID 83318-2068 - Phone
- (208) 677-6171
- NPI assigned
- Jun 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 10297351-4402 | UT | |
| Advanced Practice Midwife | 367A00000X | 3671142 | ID | Primary |
Addresses
Primary practice location
1408 Pomerelle Ave Ste H
Burley, ID 83318-2068
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice location 1
10 S 2000 E
Salt Lake City, UT 84112-5880
Phone (801) 581-3414
Other names 1
- Cinneamon Lee Baird
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC/ Office Ally |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1501 Hiland Ave F
Burley, ID 83318-2682
Phone (208) 678-4444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10297351-4402 | UT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444
1408 Pomerelle Ave
Ste H
Burley, ID 83318
Phone (208) 677-6170
1501 Hiland Ave
Ste F
Burley, ID 83318
Phone (208) 677-6212
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CRMC Family Medicine
- Multi-Specialty Clinic/Center
- Burley, ID
- NPI 1710156922
-
dba Intermountain Health Cassia Regional Hospital
- General Acute Care Hospital
- Burley, ID
- NPI 1497865315
-
dba Cassia Primary Care
- Internal Medicine Physician
- Burley, ID
- NPI 1275378200
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Cassia Regional Hospital
- General Acute Care Hospital
- Burley, ID
- NPI 1497865315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1033849252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 POMERELLE AVE STE H",
"city": "BURLEY",
"state": "ID",
"postal_code": "833182068",
"telephone_number": "208-677-6171"
}
],
"practiceLocations": [
{
"address_1": "10 S 2000 E",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841125880",
"country_code": "US",
"telephone_number": "801-581-3414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEPPELT",
"first_name": "CINNEAMON",
"middle_name": "LEE",
"credential": "CNM, WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-11",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "UT",
"license": "10297351-4402",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "ID",
"license": "3671142",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC/ Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CINNEAMON",
"last_name": "BAIRD",
"middle_name": "LEE",
"credential": "DNP STUDENT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.