Individual provider Active NPI

Madeleine Regina Burns, LM, CPM

  • Midwife
  • Coeur D Alene, ID
National Provider Identifier
1407632995
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MID-146 Issued in ID
Practice address
5077 York Ave
Coeur D Alene, ID 83815-7818
Phone
(208) 518-9327
Fax
(208) 625-2067
NPI assigned
Aug 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MID-146 ID Primary

Addresses

Primary practice location

5077 York Ave
Coeur D Alene, ID 83815-7818

Mailing address

5077 N York Ave
Coeur D Alene, ID 83815
Phone (208) 518-9327

Other names 1

  • Madeleine Regina Gallus Former name

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
MID-146IDMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1407632995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5077 N YORK AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "83815",
            "telephone_number": "208-518-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5077 YORK AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157818",
            "telephone_number": "208-518-9327",
            "fax_number": "208-625-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "MADELEINE",
        "middle_name": "REGINA",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2025-02-14",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ID",
            "license": "MID-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELEINE",
            "last_name": "GALLUS",
            "middle_name": "REGINA",
            "credential": "LM CPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.