Organization Active NPI

Sage Midwifery

  • Midwife
  • Meridian, ID
National Provider Identifier
1235855883
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
SAGE MIDWIFERY
Practice address
135 E Calderwood Dr Ste 100
Meridian, ID 83642-7851
Phone
(986) 999-3911
Fax
(208) 600-6911
NPI assigned
Oct 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Katharine Rawlins, LM, CPMNPI 1750797155
Title
Owner
Phone
(986) 999-3911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

135 E Calderwood Dr Ste 100
Meridian, ID 83642-7851

Mailing address

135 E Calderwood Dr Ste 100
Meridian, ID 83642-7851

Other identifiers 4

IdentifierTypeStateIssuer
1750797155MedicaidID
1386133825MedicaidID
1235855883MedicaidID
1649937111MedicaidID

National Provider Directory

National Provider Directory

Locations

135 E Calderwood Dr
Ste 100
Meridian, ID 83642
Phone (986) 999-3911

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1235855883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E CALDERWOOD DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E CALDERWOOD DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427851",
            "telephone_number": "986-999-3911",
            "fax_number": "208-600-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MIDWIFERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "RAWLINS",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "986-999-3911",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750797155",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386133825",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235855883",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649937111",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "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 Jan 27, 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.

Verify at the official NPI Registry.