Ivy Allen, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MID-154 Issued in ID

Practice address

378 S Ridge Ave
Idaho Falls, ID 83402-4115

Phone

(608) 863-1099

NPI assigned

Nov 15, 2023

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1417722851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 E 196 N",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425670",
            "telephone_number": "608-863-1099",
            "fax_number": "208-745-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 S RIDGE AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024115",
            "telephone_number": "608-863-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3818 E 196 N",
            "address_purpose": "LOCATION",
            "city": "Rigby",
            "state": "ID",
            "postal_code": "834425670",
            "country_code": "US",
            "telephone_number": "608-863-1099",
            "fax_number": "208-745-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "IVY",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "ID",
            "license": "MID-154",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ID",
            "license": "MID-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Allen
• Briana R Allen, LCSW
• Clark Hunter Allen, M.D.
• Daniel Allen, LPC
• Farris Allen
• Janet O. Allen, ED.D, LCPC
• Maxwell Reas Allen
• Scott T Allen, DDS
• Tausha Joanne Allen
• Taylor Valois Allen, LMSW

• Midwife in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Midwife in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.