Individual provider Active NPI

Sarah Pagano, CPM, LM

  • Midwife
  • Meridian, ID
National Provider Identifier
1124771613
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
ID-130 Issued in ID
Practice address
270 N Linder Rd
Meridian, ID 83642-2437
Phone
(208) 884-1223
NPI assigned
Feb 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X ID-130 ID Primary

Addresses

Primary practice location

270 N Linder Rd
Meridian, ID 83642-2437

Mailing address

1723 N Eaglet CT
Nampa, ID 83651-1439
Phone (208) 803-7549

Other identifiers 1

IdentifierTypeStateIssuer
CPM22010005OtherNARM

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Meridian 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
ID-130IDMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Baby Place LLC. Single Specialty PastSince Feb 6, 2022 Accepting new patients
The Baby Place Inc PastSince Feb 6, 2022 Accepting new patients

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": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1124771613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 N EAGLET CT",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511439",
            "telephone_number": "208-803-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N LINDER RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422437",
            "telephone_number": "208-884-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "ID",
            "license": "ID-130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NARM",
            "identifier": "CPM22010005",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Meridian",
            "affiliation": "N",
            "endpointDescription": "Fax/Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax/Email",
            "address_1": "270 N Linder Rd",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836422437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.