Active NPI
Merrilyn R Reeves, LM, CPM
- Midwife
- Plummer, ID
National Provider Identifier
1477727998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MID-13
- Practice address
- 101 Haynes LN
Plummer, ID 83851-9618 - Phone
- (208) 686-1041
- NPI assigned
- Apr 15, 2008
- Last updated
- Feb 10, 2013
- 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-13 | ID | Primary |
Addresses
Primary practice location
101 Haynes LN
Plummer, ID 83851-9618
Mailing address
101 Haynes LN
Plummer, ID 83851-9618
Phone (208) 686-1041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477727998 | Medicaid | ID |
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-13 | ID | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360454400000",
"number": "1477727998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HAYNES LN",
"city": "PLUMMER",
"state": "ID",
"postal_code": "838519618",
"telephone_number": "208-686-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HAYNES LN",
"city": "PLUMMER",
"state": "ID",
"postal_code": "838519618",
"telephone_number": "208-686-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "MERRILYN",
"middle_name": "R",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-15",
"last_updated": "2013-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "ID",
"license": "MID-13",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477727998",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plummer, ID
- Plummer Worley School District #44
- Raymond Joseph Prevost, LMSW
- Carl Printz, LMSW
- Providence Health & Services - Washington (Providence Spokane Heart Institute)
- Romany Redman, MD
- Terry R Reisner, MD
- George S Robinson, MT
- Erinn Savage, PHD
- Penny Ann Sczenski, AGPCNP-BC
- Joshua Michael Severns, LCSW, ACADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.