Magic Valley Midwifery, LLC

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

CNM-24A Issued in ID

Legal business name

MAGIC VALLEY MIDWIFERY, LLC

Practice address

102 E Avenue F
Jerome, ID 83338-3133

Phone

(208) 324-2778

Fax

(208) 324-2778

NPI assigned

Dec 16, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Connie Jean Wolcott, C.N.M.

Title

Certified Nurse-Midwife

Phone

(208) 324-2778

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1457596769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 S 360 W",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833386037",
            "telephone_number": "208-324-2778",
            "fax_number": "208-324-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E AVENUE F",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833383133",
            "telephone_number": "208-324-2778",
            "fax_number": "208-324-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC VALLEY MIDWIFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "WOLCOTT",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CERTIFIED NURSE-MIDWIFE",
        "authorized_official_telephone_number": "208-324-2778",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.N.M."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "ID",
            "license": "CNM-24A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James D. Lohmann, M.D.
• Lon M. Egbert, P.C.
• Lorraine Tangen M.D. PLLC
• M. Lonnette Luper, MS, CCC-SLP
• Magic Valley ABA Therapy LLC
• Christa A Mahler, BCBA
• Chandi Delyn Marston, LMSW
• Mayes Physical Therapy, Inc
• Daryl Dean Mayes, P.T., D.P.T., M.H.S.
• Melissa D Merrill, CNM, WHNP

• Ambulatory Family Planning Facility in Jerome, ID
• Providers in Jerome, ID by specialty
• Ambulatory Family Planning Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.