Individual provider Active NPI

Paula Wiens, R.N., C.N.M.

  • Advanced Practice Midwife
  • Boise, ID
National Provider Identifier
1518005131
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM-51A Issued in ID
Practice address
207 W Washington St
Boise, ID 83702-5989
Phone
(208) 343-2079
Fax
(208) 343-6828
NPI assigned
Feb 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM-51A ID Primary
Registered Nurse 163W00000X 200641212RN OR
Midwife 176B00000X 0618262524 OR

Addresses

Primary practice location

207 W Washington St
Boise, ID 83702-5989

Mailing address

207 W Washington St
Boise, ID 83702-5989
Phone (208) 343-2079

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
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
200641212RNORMDRegistered Nurse
0618262524ORMDMidwife
CNM-51AIDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Boise Advanced Imaging PLLC Past Accepting new patients
Treasure Valley Midwives, LLC Midwife Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1518005131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W WASHINGTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025989",
            "telephone_number": "208-343-2079",
            "fax_number": "208-343-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W WASHINGTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025989",
            "telephone_number": "208-343-2079",
            "fax_number": "208-343-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENS",
        "first_name": "PAULA",
        "credential": "R.N., C.N.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ID",
            "license": "CNM-51A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200641212RN",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "0618262524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.