Danielle Megann Boettcher White, CPM
Individual provider Active NPI Midwife · Rigby, ID
NPI 1053785519 · NPPES record last updated Nov 20, 2015
Key facts
- NPI
- 1053785519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- MID-66 (ID)
- Practice address
- 297 N 3855 E
Rigby, ID 83442-5124 - Phone
- (208) 745-7571
- NPI assigned
- Nov 20, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MID-66 | ID | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Selah Midwifery Center | Midwife | Past | Accepting new patients |
| Agape Birth Service and Birth Center | Midwife | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MID-66 | ID | Yes |
Addresses
Primary practice location
297 N 3855 E
Rigby, ID 83442-5124
Mailing address
PO Box 995
Victor, ID 83455-0995
Phone (847) 239-0817
Other providers in Rigby, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.