Active NPI
Tavniah Leigh Betts, CPM
- Midwife
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 57-049
- Practice address
- 1072 N Liberty St Ste 100
Boise, ID 83704-8708 - Phone
- (208) 302-1200
- Fax
- (208) 302-1255
- NPI assigned
- May 1, 2012
- Last updated
- Feb 26, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 6471049 | ID | |
| Midwife | 176B00000X | 57-049 | WI | Primary |
Addresses
Primary practice location
1072 N Liberty St Ste 100
Boise, ID 83704-8708
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 302-9342
Other practice location 1
25 E Kent Rd
Duluth, MN 55812-1421
Phone (218) 340-3693
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
- Texas Tech University Health Science Center School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121
3025 W Cherry LN
Meridian, ID 83642-8531
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6471049 | ID | MD | Midwife |
| 57-049 | WI | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Past | Accepting new patients |
Locations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
1072 N Liberty St
Ste 100
Boise, ID 83704
Phone (208) 302-1200
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
Interoperability endpoints
- tbetts4244252@direct.trinity-health.org
Organizations & group practices 3
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.
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- NPI 1770687857
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- NPI 1992736649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1144588898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-302-9342",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 N LIBERTY ST STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837048708",
"telephone_number": "208-302-1200",
"fax_number": "208-302-1255"
}
],
"practiceLocations": [
{
"address_1": "25 E Kent Rd",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558121421",
"country_code": "US",
"telephone_number": "218-340-3693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETTS",
"first_name": "TAVNIAH",
"middle_name": "LEIGH",
"credential": "CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "ID",
"license": "6471049",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WI",
"license": "57-049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 26, 2025; 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.