Active NPI
Susan Katherine Struble, L.M.
- Midwife
- Troy, ID
National Provider Identifier
1245519495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MID-20
- Practice address
- 1200 Cornwall Rd
Troy, ID 83871-9610 - Phone
- (208) 835-4188
- NPI assigned
- Aug 5, 2011
- Last updated
- Jun 11, 2026
- 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-20 | ID | Primary |
Addresses
Primary practice location
1200 Cornwall Rd
Troy, ID 83871-9610
Mailing address
1200 Cornwall Rd
Troy, ID 83871-9610
Phone (208) 835-4188
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-20 | ID | MD | Lay Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1245519495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORNWALL RD",
"city": "TROY",
"state": "ID",
"postal_code": "838719610",
"telephone_number": "208-835-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CORNWALL RD",
"city": "TROY",
"state": "ID",
"postal_code": "838719610",
"telephone_number": "208-835-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRUBLE",
"first_name": "SUSAN",
"middle_name": "KATHERINE",
"credential": "L.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-05",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "ID",
"license": "MID-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.