Active NPI
Claudette Coughenour McDaniel, LM CPM
- Midwife
- Kuna, ID
National Provider Identifier
1114017902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MID-125
- Practice address
- 972 S Moorside Ave
Kuna, ID 83634-2586 - Phone
- (208) 738-6786
- Fax
- (707) 674-5512
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MID-125 | ID | Primary |
Addresses
Primary practice location
972 S Moorside Ave
Kuna, ID 83634-2586
Mailing address
1901 Caldwell Blvd
#1016
Nampa, ID 83651
Phone (208) 738-6786
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97030003 | Other | NARM CERTIFIED PROFESSIONAL MIDWIFE CPM | |
| MID-125 | Other | ID | DOPL BOARD OF NURSING MIDWIFE LICENSE |
| 12280 | Other | CA | LAMAZE |
Other names 1
- Claudette Louise Coughenour
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MID-125 | ID | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750550400000",
"number": "1114017902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 CALDWELL BLVD",
"address_2": "#1016",
"city": "NAMPA",
"state": "ID",
"postal_code": "83651",
"telephone_number": "208-738-6786",
"fax_number": "707-674-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "972 S MOORSIDE AVE",
"city": "KUNA",
"state": "ID",
"postal_code": "836342586",
"telephone_number": "208-738-6786",
"fax_number": "707-674-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "CLAUDETTE",
"middle_name": "COUGHENOUR",
"name_prefix": "Mrs.",
"credential": "LM CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2025-06-22",
"certification_date": "2025-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "ID",
"license": "MID-125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NARM CERTIFIED PROFESSIONAL MIDWIFE CPM",
"identifier": "97030003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOPL BOARD OF NURSING MIDWIFE LICENSE",
"identifier": "MID-125",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAMAZE",
"identifier": "12280",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CLAUDETTE",
"last_name": "COUGHENOUR",
"middle_name": "LOUISE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kuna, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.