Individual provider Active NPI

Rachel Marie Davis, ARNP, CNM

  • Midwife
  • Coeur d'Alene, ID
National Provider Identifier
1386353415
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
74510 Issued in ID
Practice address
980 W Ironwood Dr Ste 201
Coeur D Alene, ID 83814-2668
Phone
(208) 765-4888
Fax
(208) 667-8618
NPI assigned
Nov 17, 2022
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 74510 ID
Midwife 176B00000X 74510 ID Primary

Addresses

Primary practice location

980 W Ironwood Dr Ste 201
Coeur D Alene, ID 83814-2668

Mailing address

980 W Ironwood Dr Ste 201
Coeur D Alene, ID 83814-2668
Phone (208) 765-4888

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328003276 ID Practitioner - Certified Nurse Midwife (CNM) 4789022575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coeur Obstetrics and Gynecology PLLCGroup PAC ID 1951306844, 6 clinicians

Practice addresses (Care Compare)

980 W Ironwood Dr
Suite 201
Coeur D Alene, ID 83814-2668
Phone (208) 765-4888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
74510IDMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Coeur Obstetrics and Gynecology, PLLC CurrentSince Mar 14, 2024 Accepting new patients

Locations

980 W Ironwood Dr
Ste 201
Coeur D Alene, ID 83814
Phone (208) 292-1315

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72467

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1386353415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 W IRONWOOD DR STE 201",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142668",
            "telephone_number": "208-765-4888",
            "fax_number": "208-667-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W IRONWOOD DR STE 201",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142668",
            "telephone_number": "208-765-4888",
            "fax_number": "208-667-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "ARNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "ID",
            "license": "74510",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ID",
            "license": "74510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.