Active NPI
Diane M Hulbert, CNM
- Advanced Practice Midwife
- Meridian, ID
National Provider Identifier
1619018926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM45A
- Practice address
- 3025 W Cherry LN
Suite B
Meridian, ID 83642-1125 - Phone
- (208) 367-8550
- Fax
- (208) 367-8555
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CNM45A | ID | Primary |
Addresses
Primary practice location
3025 W Cherry LN
Suite B
Meridian, ID 83642-1125
Mailing address
3025 W Cherry LN
Suite B
Meridian, ID 83642-1125
Phone (208) 367-8550
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNM45A | ID | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1619018926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 W CHERRY LN",
"address_2": "SUITE B",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421125",
"telephone_number": "208-367-8550",
"fax_number": "208-367-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 W CHERRY LN",
"address_2": "SUITE B",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421125",
"telephone_number": "208-367-8550",
"fax_number": "208-367-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULBERT",
"first_name": "DIANE",
"middle_name": "M",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "ID",
"license": "CNM45A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.