Individual provider Active NPI

Madelein C Shafferman, NMD

  • Naturopath
  • Boise, ID
National Provider Identifier
1124502216
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NMD-0045 Issued in ID
Practice address
6901 W Emerald St Ste 203
Boise, ID 83704-8660
Phone
(208) 806-1332
Fax
(208) 907-5215
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 18-1731 AZ
Naturopath 175F00000X NMD-0045 ID Primary

Addresses

Primary practice location

6901 W Emerald St Ste 203
Boise, ID 83704-8660

Mailing address

6901 W Emerald St Ste 203
Boise, ID 83704-8660
Phone (208) 806-1332

Other practice location 1

13402 N Scottsdale Rd Ste A120
Scottsdale, AZ 85254-4036
Phone (215) 970-8332

Other identifiers 2

IdentifierTypeStateIssuer
18-1731OtherAZARIZONA NATUROPATHIC MEDICAL BOARD
NMD-0045OtherIDIDAHO BOARD OF MEDICINE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL isaihnaturalmedicine.com Direct

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

LicenseStateTypeSpecialty
18-1731AZMDNaturopath
NMD-0045IDMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran University of Health Sciences Naturopath Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1124502216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 W EMERALD ST STE 203",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048660",
            "telephone_number": "208-806-1332",
            "fax_number": "208-907-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 W EMERALD ST STE 203",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048660",
            "telephone_number": "208-806-1332",
            "fax_number": "208-907-5215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13402 N Scottsdale Rd Ste A120",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852544036",
            "country_code": "US",
            "telephone_number": "215-970-8332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFERMAN",
        "first_name": "MADELEIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "18-1731",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ID",
            "license": "NMD-0045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA NATUROPATHIC MEDICAL BOARD",
            "identifier": "18-1731",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BOARD OF MEDICINE",
            "identifier": "NMD-0045",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "isaihnaturalmedicine.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "6901 W Emerald St Ste 203",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837048660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.